KATHERYN WILLIAMS MUNCIE (NPI# 1629313804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629313804 |
| Entity Type | Individual |
| Full Name | KATHERYN WILLIAMS MUNCIE |
| Credential | ARNP |
| Practice Address |
5430 W Sample Rd Margate FL 33073 |
| Mailing Address |
1700 Nw 49th St Ste 125 Fort Lauderdale FL 33309-3750 |
| Practice Telephone | 9543203303 |
| Practice Fax Number | 9547552224 |
| Mailing Telephone | 9543203303 |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2018-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
95003874 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9286948 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1809 National Ave, San Diego, CA 921132113 | 6195152300 | |
| 2325 Commercial St, San Diego, CA 921131189 | 6195152422 |
| Street Address |
5430 W SAMPLE RD |
| City | MARGATE |
| State | FL |
| Zip Code | 33073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215929138 | Neena R Gupta | Family Medicine | 5430 W Sample Rd, Margate, FL 33073-3453 | 2005-08-17 |
| 1164931143 | Marie B Latouche | Nurse Practitioner | 5430 W Sample Rd, Margate, FL 33073-3453 | 2017-09-22 |
| 1245684851 | Wesley Cheng | Family Medicine | 5430 W Sample Rd, Margate, FL 33073-3453 | 2016-04-20 |
| 1942501697 | Adelle M Azam | Registered Nurse | 5430 W Sample Rd, Margate, FL 33073-3453 | 2010-11-11 |
| 1649410077 | North Broward Hospital District | Nurse Practitioner | 5430 W Sample Rd, Margate, FL 33073-3453 | 2009-02-25 |
| 1467498691 | Kenneth S Jeffers | Orthopaedic Surgery | 5430 W Sample Rd, Margate, FL 33073-3453 | 2006-06-22 |
| 1639118516 | Neena Gupta, Do, Pa/dba Sample Medical Center | Family Medicine | 5430 W Sample Rd, Margate, FL 33073-3453 | 2006-06-06 |
| 1558328542 | David Bradley Fink | Family Medicine | 5430 W Sample Rd, Margate, FL 33073-3453 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796275 | Mireille Alexis | Prosthetist | 4376 Fl-7, Coral Springs, FL 33073 | 2020-10-08 |
| 1811506173 | Josee Helene Beaudry | Registered Nurse | 7700nw 48th Ave, Coconut Creek, FL 33073 | 2020-07-23 |
| 1700426210 | Stanback Enterprises LLC | Behavioral Analyst | 5561 North Winston Park Boulevard, Apartment 203, Coconut Creek, FL 33073 | 2020-01-13 |
| 1336701101 | Elissa N Tricoche | Behavior Technician | 5500 Hillsboro Blvd, Suite 208, Coconut Creek, FL 33073 | 2019-07-02 |
| 1124683677 | Vedrine Healthcare, LLC | Family Medicine | 6350 Nw 41st Terrace, Pompano Beach, FL 33073 | 2019-05-09 |
| 1518420058 | Balance Wellness Therapy Inc | Massage Therapist | 5853 Nw 40th Ave, Coconut Creek, FL 33073 | 2019-04-11 |
| 1497231336 | Brcastrong Corp | Health Educator | 4535 Nw 50th Court, Coconut Creek, FL 33073 | 2018-07-13 |
| 1851885156 | Cintia D Kopecny | Dentist | 5350 W Hillsboro Blvd Ste 201, Coconut Creek, FL 33073 | 2018-06-20 |
| 1720576721 | Sherell Breus | Driver | 4911 W Sample Rd, Coconut Creek, FL 33073 | 2018-04-25 |
| 1376053769 | Christiane Santana | Acupuncturist | 2300 W Sample Rd Ste 213, Pompano Beach, FL 33073 | 2017-10-11 |
| Find all providers in zip 33073 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224701 | Amanda Lynn Langley | Nurse Practitioner | 5733 Seton Dr, Margate, FL 33063-2830 | 2020-11-01 |
| 1326683558 | Timekia Miller | Nurse Practitioner | 6343 Harbor Bnd, Margate, FL 33063 | 2019-11-12 |
| 1629619796 | Jorge Benitez | Nurse Practitioner | 2833 Nw 68th Ln, Margate, FL 33063-2041 | 2019-09-30 |
| 1124677216 | Beatrice Gai | Nurse Practitioner | 7332 Viscaya Cir, Margate, FL 33063-6890 | 2019-09-10 |
| 1508324583 | Delvia George Vathielil | Nurse Practitioner | 5901 Colonial Dr Ste 108, Margate, FL 33063-5672 | 2019-03-08 |
| 1316402449 | Sophia Sepaul | Nurse Practitioner | 6621 Nw 21st St, Margate, FL 33063-2113 | 2019-02-02 |
| 1972075133 | Janice Ann Treijs | Nurse Practitioner | 3361 Nw 78th Ave, Margate, FL 33063-5453 | 2018-12-27 |
| 1104395797 | Jibi Mathew | Nurse Practitioner | 2825 N State Road 7 Ste 201, Margate, FL 33063-5737 | 2018-11-13 |
| 1487138236 | Kavine Annita Taylor-dyke | Nurse Practitioner | 272 Nw 80th Terrace, Margate, FL 33063 | 2018-09-18 |
| 1619453107 | Lecia Annmarie James | Nurse Practitioner | 2721 Nw 74th Ave, Margate, FL 33063-7893 | 2018-07-17 |
| Find all providers in MARGATE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.