Active NPI
Kibben Gail Rumohr, LISW
- Social Worker
- Washington, IA
National Provider Identifier
1063139574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 007711
- Practice address
- 420 E Polk St
Washington, IA 52353-1237 - Phone
- (319) 361-6529
- NPI assigned
- Oct 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 007711 | IA | Primary |
Addresses
Primary practice location
420 E Polk St
Washington, IA 52353-1237
Mailing address
21969 117TH LN
Bloomfield, IA 52537-6882
Phone (641) 777-1568
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007711 | IA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace C Mae Advocate Center, Inc | Past | Accepting new patients | |
| Grace C Mae Advocate Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counselor
- Cedar Rapids, IA
- NPI 1851725592
-
- Community/Behavioral Health Agency
- Cedar Rapids, IA
- NPI 1700018405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1063139574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21969 117TH LN",
"city": "BLOOMFIELD",
"state": "IA",
"postal_code": "525376882",
"telephone_number": "641-777-1568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E POLK ST",
"city": "WASHINGTON",
"state": "IA",
"postal_code": "523531237",
"telephone_number": "319-361-6529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUMOHR",
"first_name": "KIBBEN",
"middle_name": "GAIL",
"name_prefix": "Mrs.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-25",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "007711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.