Joseph Gordon Kaunda

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704268600 Issued in MI

Practice address

8841 Meadow LN
Berrien Springs, MI 49103-1486

Phone

(269) 277-7658

NPI assigned

Jul 10, 2020

Sex

Male

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkaunda4271953@direct.trinity-health.org

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.

• Intercare Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Bangor, MI
  • NPI 1326058512
  Medicare reassignment NPD
• Intercare Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Eau Claire, MI
  • NPI 1336701119
  NPD

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1609494194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8841 MEADOW LN",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031486",
            "telephone_number": "269-277-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8841 MEADOW LN",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031486",
            "telephone_number": "269-277-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUNDA",
        "first_name": "JOSEPH",
        "middle_name": "GORDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704268600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Jardine, LMSW
• Jenny'S Place
• Rommel Johnson, LPC
• Femy Lisa Joseph
• David K Kamande
• Deanna Marie Keith, LMSW
• Katherine Ann Keith, M.D.
• Marlyce R Klopping-Davis, CNM
• Frederick Augustus Kosinski, PH.D.
• Gretchen Krivak

• Family Nurse Practitioner in Berrien Springs, MI
• Providers in Berrien Springs, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.