Individual provider Active NPI

Kudakwashe Shumba, LPN

  • Licensed Practical Nurse
  • Liberty Township, OH
National Provider Identifier
1124339569
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
134344 Issued in OH
Practice address
6355 Stonehenge Blvd
Liberty Township, OH 45044-9786
Phone
(513) 258-1893
Fax
(513) 759-2783
NPI assigned
Jun 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 134344 OH Primary

Addresses

Primary practice location

6355 Stonehenge Blvd
Liberty Township, OH 45044-9786

Mailing address

6355 Stonehenge Blvd
Liberty Township, OH 45044-9786
Phone (513) 258-1893

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

LicenseStateTypeSpecialty
134344OHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kscares Licensed Practical Nurse PastSince Aug 17, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1124339569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 STONEHENGE BLVD",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450449786",
            "telephone_number": "513-258-1893",
            "fax_number": "513-759-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 STONEHENGE BLVD",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450449786",
            "telephone_number": "513-258-1893",
            "fax_number": "513-759-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMBA",
        "first_name": "KUDAKWASHE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "134344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.