Rosemary Gathungu, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71010364A Issued in IN

Practice address

1113 Mossy LN
Mishawaka, IN 46544-9055

Phone

(574) 208-9114

NPI assigned

Aug 24, 2020

Last updated

Oct 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Great Lakes Behavior Management Specialists, Inc.Group PAC ID 9436580958, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rgathungu23658@carelonhealth.direct-ci.com

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.

• Great Lakes Behavior Management Specialists, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Granger, IN
  • NPI 1891346441
  Medicare reassignment Care Compare group NPD
• Aims, LLC

  • Psychiatry Physician
  • Bremen, IN
  • NPI 1376072785
  Medicare reassignment NPD
• Carelon Medical Partners, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1124443403

  IN

  Medicare reassignment
• Aims-Med, LLC

  • Internal Medicine Physician
  • Bremen, IN
  • NPI 1881211878
  NPD (past)

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1326650052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 HIAWATHA DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465171862",
            "telephone_number": "574-370-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 MOSSY LN",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465449055",
            "telephone_number": "574-208-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATHUNGU",
        "first_name": "ROSEMARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010364A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justice Garman
• Laura Garries
• Erica Garver, FNP-BC
• Michael Bernard Gasko, D.D.S.
• Thomas Gast, MD
• Alexander C Gatzimos, M.D.,JD
• Erin Marie Gaul, MSW, LSW
• Crystal Geerts
• Jeffrey David Geibig, PHARMD
• Hollie Mae Gentry, COUNCELOR

• Nurse Practitioner in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.