Active NPI
Judy Kungu
- Registered Nurse
- Fairfield, OH
National Provider Identifier
1467758599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN. 364470
- Practice address
- 18 Planet CT
Fairfield, OH 45014-5013 - Phone
- (513) 582-9424
- NPI assigned
- Feb 8, 2011
- Last updated
- Feb 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN. 364470 | OH | Primary |
Addresses
Primary practice location
18 Planet CT
Fairfield, OH 45014-5013
Mailing address
18 Planet CT
Fairfield, OH 45014-5013
Phone (513) 582-9424
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN. 364470 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optima Care Consultants LLC | Current | 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.
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- Cincinnati, OH
- NPI 1932069606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1467758599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 PLANET CT",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145013",
"telephone_number": "513-582-9424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 PLANET CT",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145013",
"telephone_number": "513-582-9424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNGU",
"first_name": "JUDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-08",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN. 364470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.