Individual provider Active NPI

Manuel Munoz III, CPNP

  • Pediatric Nurse Practitioner
  • Pearsall, TX
National Provider Identifier
1992049464
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP122882 Issued in TX
Practice address
325 N Cherry St
Pearsall, TX 78061-2509
Phone
(830) 505-7002
Fax
(830) 210-2244
NPI assigned
Nov 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 742621 TX
Pediatric Nurse Practitioner 363LP0200X AP122882 TX Primary

Addresses

Primary practice location

325 N Cherry St
Pearsall, TX 78061-2509

Mailing address

325 N Cherry St
Pearsall, TX 78061-2509
Phone (830) 505-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150803002272 TX Practitioner - Nurse Practitioner 7416261508 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
742621TXMDPediatric Nurse Practitioner
AP122882TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Pediatric Healthcare, PLLC Pediatrics Current Accepting new patients
Hopscotch Health Childrens Primary Care PLLC Pediatrics CurrentSince Dec 3, 2023 Accepting new patients

Locations

325 N Cherry St
Pearsall, TX 78061
Phone (210) 246-2476

7108 Bandera Rd
San Antonio, TX 78238
Phone (210) 432-2905

813 Bandera Rd
Ste B
San Antonio, TX 78228
Phone (210) 432-2905

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBCAED/Endpoint/JBCAED

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1992049464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N CHERRY ST",
            "city": "PEARSALL",
            "state": "TX",
            "postal_code": "780612509",
            "telephone_number": "830-505-7002",
            "fax_number": "830-210-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N CHERRY ST",
            "city": "PEARSALL",
            "state": "TX",
            "postal_code": "780612509",
            "telephone_number": "830-505-7002",
            "fax_number": "830-210-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "MANUEL",
        "name_suffix": "III",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-21",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "742621",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP122882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearsall, TX

Sources for this page

Verify at the official NPI Registry.