Fatuma Kiwala, CNA

Primary specialty

DriverTaxonomy code 172A00000X

License

K40024093749 Issued in IL

Practice address

11713 Woodcreek S Apt E
Huntley, IL 60142-7350

Phone

(331) 230-1154

NPI assigned

Nov 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ryan Sheltered Care LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Poplar Grove, IL
  • NPI 1316801087
  NPD Authorized official

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1053137943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11713 WOODCREEK S APT E",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427350",
            "telephone_number": "331-230-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11713 WOODCREEK S APT E",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427350",
            "telephone_number": "331-230-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIWALA",
        "first_name": "FATUMA",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "IL",
            "license": "K40024093749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margeret Kiggundu, FNP
• Kinetic Physical Therapy Specialists, Inc.
• Katrina Ann King Cardenas, RPRS
• Kevin Bryan King, PHARMD
• Lea Fucydzy Kioutas, M.D.
• Joanne N Knapik, M.D.
• Jared Ko, M.D.
• Kelly Konopka
• Brian Winston Korreck, DDS
• Neerav Atul Kothari, MD

• Driver in Huntley, IL
• Providers in Huntley, IL by specialty
• Driver in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.