Individual provider Active NPI

Susan Kwambata

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Waukee, IA
National Provider Identifier
1144173444
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Practice address
610 NW Rosemont Dr
610 NW Rosemont Dr
Waukee, IA 50263-2905
Phone
(515) 779-2298
NPI assigned
Feb 17, 2026
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X IA Primary

Addresses

Primary practice location

610 NW Rosemont Dr
610 NW Rosemont Dr
Waukee, IA 50263-2905

Mailing address

610 NW Rosemont Dr
610 NW Rosemont Dr
Waukee, IA 50263-2905
Phone (515) 779-2298

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wondercare LLC Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1771286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1144173444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 NW ROSEMONT DR",
            "address_2": "610 NW ROSEMONT DR",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502632905",
            "telephone_number": "515-779-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 NW ROSEMONT DR",
            "address_2": "610 NW ROSEMONT DR",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502632905",
            "telephone_number": "515-779-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAMBATA",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.