Fletcher Munksgard

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95005899 Issued in CA

Practice address

21250 Stevens Creek Blvd
Student Health Services
Cupertino, CA 95014-5702

Phone

(408) 864-8732

NPI assigned

Feb 6, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Fletcher Dane Friedman Munksgard Other name

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fletcher.munksgard.1@14789.direct.athenahealth.com
• Direct secure messaging: fletcher.munksgard.1@13562.direct.athenahealth.com

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.

• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment NPD
• Infusion Express of California Inc

  dba IVX Health

  • Infusion Therapy Clinic/Center
  • Fremont, CA
  • NPI 1447604525
  Medicare reassignment NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Antioch, CA
  • NPI 1912930421
  NPD
• Cep America-California

  • Emergency Medicine Physician
  • Murrieta, CA
  • NPI 1588552848
  NPD
• Carbon Health Primary Care of California PC

  • Multi-Specialty Clinic/Center
  • Berkeley, CA
  • NPI 1972057990
  NPD (past)
• Foothill-de Anza Community College District

  • Student Health Clinic/Center
  • Cupertino, CA
  • NPI 1851177174
  NPD (past)
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD (past)

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1992243331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 FRISBIE ST APT 3",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21250 STEVENS CREEK BLVD",
            "address_2": "STUDENT HEALTH SERVICES",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950145702",
            "telephone_number": "408-864-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNKSGARD",
        "first_name": "FLETCHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FLETCHER",
            "last_name": "FRIEDMAN MUNKSGARD",
            "middle_name": "DANE",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ankita Harshi Mota, DMD
• Setareh Mozafari-Nejad, D.D.S.
• MPR Health Group (Mannie Joel, M.D. and Associates)
• Mukti Medical
• Merodie Erin Mullis, PHYSICAL THERAPIST
• Daisy Maria Munoz-Alcazar
• Anne Murray, D.D.S.
• Janelle Wohltmann Myhre, PH.D.
• Zahra Najmi, MD
• Vijayalakshmi Natarajan

• Family Nurse Practitioner in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.