Individual provider Active NPI

Donna Geneva Demunbrun, L.C.S.W.

  • Case Manager/Care Coordinator
  • Indianapolis, IN
National Provider Identifier
1578909024
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
34000657A Issued in IN
Practice address
1209 Finley Ave
Indianapolis, IN 46203-4378
Phone
(317) 220-8098
NPI assigned
May 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 34000657A IN Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

1209 Finley Ave
Indianapolis, IN 46203-4378

Mailing address

1209 Finley Ave
Indianapolis, IN 46203-4378
Phone (317) 220-8098

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
34000657AINMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Onhealthcare LLC Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1578909024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 FINLEY AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034378",
            "telephone_number": "317-220-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 FINLEY AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034378",
            "telephone_number": "317-220-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMUNBRUN",
        "first_name": "DONNA",
        "middle_name": "GENEVA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "IN",
            "license": "34000657A",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.