Individual provider Active NPI

Rimel Nkasa Mwamba

  • Student in an Organized Health Care Education/Training Program
  • Chicago, IL
National Provider Identifier
1508665035
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
924 E 57TH St Ste 104W
Chicago, IL 60637-1455
Phone
(773) 702-1937
NPI assigned
Mar 8, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

924 E 57TH St Ste 104W
Chicago, IL 60637-1455

Mailing address

5024 S Woodlawn Ave Apt 2E
Chicago, IL 60615-2865
Phone (757) 289-9334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1741392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1508665035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 S WOODLAWN AVE APT 2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606152865",
            "telephone_number": "757-289-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 E 57TH ST STE 104W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371455",
            "telephone_number": "773-702-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWAMBA",
        "first_name": "RIMEL",
        "middle_name": "NKASA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-08",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.