GERTRUDE MUMBA-KAUNDA (NPI# 1093146631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093146631 |
| Entity Type | Individual |
| Full Name | GERTRUDE MUMBA-KAUNDA |
| Practice Address |
1901 W Western Ave South Bend IN 46619-3569 |
| Mailing Address |
8003 Castleway Dr Indianapolis IN 46250-1946 |
| Practice Telephone | 5742349033 |
| Practice Fax Number | 8443971310 |
| Mailing Telephone | 3175761335 |
| Mailing Fax Number | 8443971311 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704248992 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 Medical Park Dr, Watervliet, MI 490989225 | 7344640887 | 7344020254 |
| Street Address |
1901 W WESTERN AVE |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46619-3569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082090 | Jose Dennis Lim | General Practice | 1901 W Western Ave, #b, South Bend, IN 46619-3521 | 2005-09-02 |
| 1619418332 | Susana Lagunas | Nurse Practitioner | 1901 W Western Ave, South Bend, IN 46619-3569 | 2017-03-14 |
| 1457755787 | Ekomobong E Essien | Nurse Practitioner | 1901 W Western Ave, South Bend, IN 46619-3569 | 2014-10-15 |
| 1710208012 | Liliana Patricia Ruiz | Pediatrics | 1901 W Western Ave, South Bend, IN 46619-3569 | 2010-06-21 |
| 1538367321 | Su Choo Chang | Pediatrics | 1901 W Western Ave, South Bend, IN 46619-3569 | 2007-07-03 |
| 1528109410 | Carol Louise Sikorski | Nurse Practitioner | 1901 W Western Ave, South Bend, IN 46619-3521 | 2007-02-12 |
| 1619914140 | Yahya El-shinnawy | Pediatrics | 1901 W Western Ave, South Bend, IN 46619-3569 | 2006-06-01 |
| 1679567739 | Thomas J Allen | Dentist | 1901 W Western Ave, #b, South Bend, IN 46619-3521 | 2005-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578015103 | Martin's Super Markets, Inc. | Pharmacy | 525 S. Mayflower Rd, South Bend, IN 46619 | 2016-10-31 |
| 1124449053 | Sandra J Jackson | Counselor | 4218 Western Ave., South Bend, IN 46619 | 2013-12-19 |
| 1902227911 | Patricia Ann Miller | Counselor | 4218 Western Ave, South Bend, IN 46619 | 2013-12-17 |
| 1740611953 | Cynthia G. Finney | Counselor | 4218 Western Avenue, So Bend, IN 46619 | 2013-12-13 |
| 1437433406 | Angela Nicole Zolvinski | Pharmacist | 4444 W. Western Ave, South Bend, IN 46619 | 2011-10-07 |
| 1871674556 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4600 W Washington St, South Bend, IN 46619 | 2006-10-18 |
| 1942302203 | April Holtgren | Family Medicine | 1901 #b Western Ave, South Bend, IN 46619 | 2006-09-05 |
| 1447737002 | Graciela Jimenez-martinez | Registered Nurse | 1901 #b Western Avenue, South Bend, IN 46619 | 2018-07-25 |
| 1821397878 | Wright Dream | In Home Supportive Care | 706 S Sheridan St, South Bend, IN 46619 | 2011-03-16 |
| 1740439223 | Scott J. Vanslambrouck | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46619 | 2008-09-09 |
| Find all providers in zip 46619 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205334927 | Martha Wahu Mburu | Nurse Practitioner | 17747 Tallyho Dr E, South Bend, IN 46635-1040 | 2018-01-28 |
| 1194245324 | Sameka Renee Dowell Mills | Nurse Practitioner | 112 W Jefferson Blvd Ste 600, South Bend, IN 46601-1921 | 2017-06-20 |
| 1265826226 | Mario Remedios Ortiz | Nurse Practitioner | 1700 Mishawaka Ave # Sac-130, Health & Wellness Center, Iu South Bend, South Bend, IN 46615-1408 | 2015-03-26 |
| 1023400454 | Amanda Lundberg | Nurse Practitioner | 53830 Generations Dr Ste 110, South Bend, IN 46635-1538 | 2015-02-23 |
| 1932520426 | Stephanie Brenneman | Nurse Practitioner | 943 S 25th St, South Bend, IN 46615-1707 | 2013-12-30 |
| 1467747014 | Deidre A Coffey | Nurse Practitioner | 1025 Widener Ln, South Bend, IN 46614 | 2011-06-12 |
| 1083919161 | Caitlin Vlaeminck | Nurse Practitioner | 6301 University Commons Ste 320, South Bend, IN 46635-1479 | 2011-01-20 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| 1780620005 | Barbara Ann Norris | Nurse Practitioner | 1432 Lincoln Way E, South Bend, IN 46613-3205 | 2006-06-22 |
| 1184629891 | Sharon K Klingerman | Nurse Practitioner | 100 Navarre Pl, Ste 5550, South Bend, IN 46601-1169 | 2005-06-17 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46619 |
Please comment or provide details below to improve the information on GERTRUDE MUMBA-KAUNDA.
| 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.