Individual provider Active NPI

Richard Munster, CRNA

  • Certified Registered Nurse Anesthetist
  • Appleton, WI
National Provider Identifier
1982755583
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
77189 Issued in WI
Practice address
277 Altenhofen Dr
Appleton, WI 54913-8401
Phone
(815) 633-8545
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 77189 WI Primary

Addresses

Primary practice location

277 Altenhofen Dr
Appleton, WI 54913-8401

Mailing address

2108 Kohler Memorial Dr
#101
Sheboygan, WI 53081-3100
Phone (920) 451-8142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982755583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 KOHLER MEMORIAL DR",
            "address_2": "#101",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813100",
            "telephone_number": "920-451-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 ALTENHOFEN DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138401",
            "telephone_number": "815-633-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSTER",
        "first_name": "RICHARD",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "77189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.