Kathy Ann Sundberg, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN086652 Issued in GA

Practice address

1916 N Leg Rd
Augusta, GA 30909-4402

Phone

(706) 667-4816

Fax

(706) 667-4555

NPI assigned

Mar 7, 2008

Last updated

Mar 7, 2008By the provider in NPPES

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1598935330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 N LEG RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094402",
            "telephone_number": "706-667-4816",
            "fax_number": "706-667-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 N LEG RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094402",
            "telephone_number": "706-667-4816",
            "fax_number": "706-667-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDBERG",
        "first_name": "KATHY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "RN086652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summerville Women's Medical Group
• Michael Benjamin Sumner Jr., MD
• Rachel Jones Sun, IBCLC
• Zhuo Sun
• Sundance Rehabilitation Agency, Inc (SunDance Georgia Rehabilitation Agency)
• Brittany Sunkett
• Alexandra Paige Sunnenberg, MD
• Sunrise at Parwkay LLC
• Sunrise Oxygen & Home Medical Products, Inc.
• Support Solutions of Georgia

• Case Management Registered Nurse in Augusta, GA
• Providers in Augusta, GA by specialty
• Case Management Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.