Individual provider Active NPI

Mavis Rukambe

  • Registered Nurse
  • Hellertown, PA
National Provider Identifier
1609260470
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN559071 Issued in PA
Practice address
427 Main St
Hellertown, PA 18055-1721
Phone
(610) 814-7300
Fax
(484) 241-4490
NPI assigned
Mar 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN559071 PA Primary

Addresses

Primary practice location

427 Main St
Hellertown, PA 18055-1721

Mailing address

427 Main St
Hellertown, PA 18055
Phone (610) 814-7300

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

LicenseStateTypeSpecialty
RN559071PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kindness Matters Home Health Care Services 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1609260470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 MAIN ST",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "18055",
            "telephone_number": "610-814-7300",
            "fax_number": "484-241-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 MAIN ST",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "180551721",
            "telephone_number": "610-814-7300",
            "fax_number": "484-241-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUKAMBE",
        "first_name": "MAVIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN559071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hellertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.