Kumuda Family Health Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

336506 Issued in NY

Legal business name

KUMUDA FAMILY HEALTH CARE

Practice address

31 Weber Hill Rd
Mahopac, NY 10541-1829

Phone

(914) 260-8087

NPI assigned

Mar 25, 2016

Organization subpart

No

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

Authorized official

Name

Kimberly Jackson, FNP

Title

Owner

Phone

(914) 260-8087

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1215399522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WEBER HILL RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105411829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WEBER HILL RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105411829",
            "telephone_number": "914-260-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMUDA FAMILY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-260-8087",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Kirkman, RPH
• Carl Joseph Koenigsmann, M.D.
• Emma Korman
• Joan M. Krauss, LCSW
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• Carolann Labarbera-Dispensa, RPH,CGP
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• Robert Steven Landman, DMD
• Michelle Lang, MA,CCC-SLP
• Iris M Langlitz, OTR/L

• Family Nurse Practitioner in Mahopac, NY
• Providers in Mahopac, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.