Kehbuma Bungwa
Individual provider Active NPI Case Manager/Care Coordinator · Washington, DC
NPI 1497450324 · NPPES record last updated Mar 31, 2023
Key facts
- NPI
- 1497450324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 915 Rhode Island Ave NW
Washington, DC 20001-4153 - Phone
- (202) 232-6100
- NPI assigned
- Mar 31, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillcrest Children'S Center | Current |
Accepting new patients |
Locations
915 Rhode Island Ave NW
Washington, DC 20001
Phone (202) 232-6100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
915 Rhode Island Ave NW
Washington, DC 20001-4153
Mailing address
915 Rhode Island Ave NW
Washington, DC 20001-4153
Phone (202) 232-6100
NPI Registry JSON
{
"created_epoch": "1680220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1497450324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 RHODE ISLAND AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200014153",
"telephone_number": "202-232-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 RHODE ISLAND AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200014153",
"telephone_number": "202-232-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNGWA",
"first_name": "KEHBUMA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-31",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
- Mohamed Bundu
- Camille Bundy
- Kamille Bundy
- Vanessa Bundy
- Brunhilda Yedmia Bungwa
- Joan Bunje
- Sherry Bunn
- Robert Bunning
- Trishanna Nicole Bunsie
- India Bunter
All providers in Washington, DC · Case Manager/Care Coordinator in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.