Jackline Wangui Mburu

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

28186560A Issued in IN

Practice address

51562 Durango CT
South Bend, IN 46628-8446

Phone

(574) 355-3431

NPI assigned

Jun 17, 2026

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

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 and National Provider Directory roles.

• Blossom Lane Home Care Services LLC

  • Adult Care Home Facility
  • South Bend, IN
  • NPI 1710812987
  NPD

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1386579571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51562 DURANGO CT",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466288446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51562 DURANGO CT",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466288446",
            "telephone_number": "574-355-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBURU",
        "first_name": "JACKLINE",
        "middle_name": "WANGUI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28186560A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaughn Thomas Mawhinney, PH.D.
• Catherine Maxwell, PH.D.
• Carol L Mayernick, LMHC
• Cynthia E Mayfield, MD
• Bradley S Mazick, PHD,HSPP
• Stacy L MC Dowell, CNS
• Kevin Jeremy McAward, M.D.
• Rochelle McBean, MSW
• Kelly McBurney, RBT
• Cassandra McCammon

• Registered Nurse in South Bend, IN
• Providers in South Bend, IN by specialty
• Registered Nurse in Indiana

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