SANDRA MUNIZ (NPI# 1639724636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639724636 |
| Entity Type | Individual |
| Full Name | SANDRA MUNIZ |
| Credential | LPN |
| Practice Address |
2630 Central Ave Eielson Afb AK 99702-2301 |
| Mailing Address |
2685 Bald Eagle Ct North Pole AK 99705-7893 |
| Practice Telephone | 9073776526 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 140504 | AK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023396363 | Sandra Muniz | Counselor | 1600 N Lee Trevino Dr Ste C3, El Paso, TX 79936-5164 | 2011-08-03 |
| Street Address |
2630 CENTRAL AVE |
| City | EIELSON AFB |
| State | AK |
| Zip Code | 99702-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578545109 | Robert Greg Patterson | Family Medicine | 2630 Central Ave, Suite 1m07, Eielson Afb, AK 99702-2325 | 2005-11-18 |
| 1689274664 | Bradley Martin | Dental Hygienist | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2020-10-28 |
| 1891395802 | Kaleb Hatfield | Dental Hygienist | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2020-10-28 |
| 1346840329 | Stephanie Danielle Rowe | Dental Assistant | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2020-10-28 |
| 1851991855 | Cody Scott Lemon | Dental Hygienist | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2020-10-28 |
| 1578189387 | Eric Dylan Mason | Military Health Care Provider | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2020-06-18 |
| 1912546524 | Susan Liebig | Dental Hygienist | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2019-12-30 |
| 1104393446 | Matthew Gray | Military Health Care Provider | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2018-10-24 |
| 1952885121 | Anthony Ewell-kollmann | Dentist | 2630 Central Ave, Eielson Afb, AK 99702 | 2018-09-24 |
| 1366980260 | Michelle Marie Ely | Social Worker | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2017-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174864904 | Eric Noll | Optometrist | 2630 Central Ave # 3349, Eielson Afb, AK 99702 | 2013-03-04 |
| 1407125123 | Optical Center | Technician/Technologist | 451 Broadway Street, Eielson Afb Aafes Exchange, Eielson, AK 99702 | 2011-12-27 |
| 1063649234 | John Michael Strothenke | Military Health Care Provider | 2630 Central Avenue Suite 1, 354 Medical Operations Squadron, Clinical Medicine Flt, Eielson Air Force Base, AK 99702 | 2009-06-16 |
| 1225272073 | Landru Derek Medvec | Military Health Care Provider | 2422 Arctic Ave, Apt D, Eielson Afb, AK 99702 | 2009-04-23 |
| 1780875617 | Victoria L Ketchum | Specialist | E. Cowles, Fairbanks Memorial Hospital, Fairbanks, AK 99702 | 2007-08-06 |
| 1689768103 | Angie M. Walker | Social Worker | 2630 Central Av, Suite 1m07, Eielson Afb, AK 99702 | 2006-10-02 |
| 1306945464 | 354th Medical Group Mdg | Military/U.S. Coast Guard Pharmacy | Bldg 3349 Central Ave, Eielson Afb, AK 99702 | 2006-09-22 |
| 1760442297 | Susan Mary Runyan | Dietitian, Registered | 354th Medical Group, 2630 Central Ave, Suite 1m07, Eielson Afb, AK 99702 | 2006-03-27 |
| 1972166916 | Andrew Joseph Colburn | Registered Nurse | 2630 Central Ave # 3349, Eielson Afb, AK 99702 | 2019-04-16 |
| 1306375704 | Robert Marshall Walter | Dentist | 2630 Central Ave Bldg 3349, Eielson Afb, AK 99702 | 2017-06-08 |
| Find all providers in zip 99702 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1336706662 | Cynthia Malina Franco | Licensed Practical Nurse | 670 W Fireweed Ln Ste 106, Anchorage, AK 99503-2562 | 2019-05-22 |
| 1144706458 | Alysia S Peppers | Licensed Practical Nurse | 3628 South Shady Lane, Wasilla, AK 99654 | 2018-07-19 |
| 1083123665 | Mareena Michelle Becerril-wild | Licensed Practical Nurse | 4219 S Pinnacle Peak Dr, Wasilla, AK 99623-0721 | 2017-09-26 |
| 1306364237 | Kenya Renay Hurd | Licensed Practical Nurse | 670 W Fireweed Ln Ste 120, Anchorage, AK 99503-2562 | 2017-08-30 |
| 1154857431 | Emily Nicole Henry | Licensed Practical Nurse | 5500 E 38th Ct Apt 2, Anchorage, AK 99504-4330 | 2017-05-05 |
| 1275068504 | Timothy Shawn Hicks-glover Jr. | Licensed Practical Nurse | 4003 Minnesota Dr Apt 19, Anchorage, AK 99503-6453 | 2017-04-24 |
| 1619408770 | Ashley Long | Licensed Practical Nurse | 3705 Arctic Blvd # 2237, Anchorage, AK 99503-5774 | 2017-03-21 |
| 1508307158 | Eileen Lloyd | Licensed Practical Nurse | 218 Skwentna Dr, Anchorage, AK 99504-4886 | 2017-03-15 |
| 1114467503 | Anna Meisel | Licensed Practical Nurse | 189 E Nelson Ave # 238, Wasilla, AK 99654-6462 | 2017-03-03 |
| Find all providers with the same taxonomy | ||||
| City | EIELSON AFB |
| Zip Code | 99702 |
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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.