Nyakume Dup

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

220 E Main St Ste 1
Mankato, MN 56001-3574

Phone

(507) 345-7012

NPI assigned

Jun 18, 2019

Last updated

Jun 18, 2019By the provider in NPPES

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

Practice roles

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.

• Five Rivers Mental Health LLC

  dba Five Rivers Mental Health Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mankato, MN
  • NPI 1689111601
  NPD (past)

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1265092563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 S PEARL ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072644",
            "telephone_number": "507-369-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E MAIN ST STE 1",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013574",
            "telephone_number": "507-345-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUP",
        "first_name": "NYAKUME",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanna Duncanson, RN
• James R Dungan, MD
• Leonard K Dunikoski, DO
• Christina Dunn, RN
• Susan E Dunn, RN NP
• Juana Duplat Castaneda
• Kira Leigha Dupont
• Jacob Lee Dvorak, DT
• Thomas M Dvorak, PA-C
• Dominika Dyminski

• Behavior Technician in Mankato, MN
• Providers in Mankato, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.