Nunmawi Bualteng

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71009069A Issued in IN

Practice address

5550 S East St Ste C
Indianapolis, IN 46227-1991

Phone

(317) 534-4660

NPI assigned

Jul 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1679135271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8345 SOUTHERN SPRINGS BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379289",
            "telephone_number": "317-752-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 S EAST ST STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271991",
            "telephone_number": "317-534-4660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8921 Southpointe Dr Ste A1",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462271085",
            "country_code": "US",
            "telephone_number": "317-884-7820",
            "fax_number": "317-888-8851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUALTENG",
        "first_name": "NUNMAWI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009069A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009069A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300028162",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Bryant, RBT
• Mark Bryson
• Natalie Bryson
• Farah Bshesh, MD
• Joseph M Buadoo-Croffie, MD
• Corby Alan Bubp, PH.D.
• Antonino Bucca, MD
• Rebecca Buchanan-Schwanke, RBT
• Beth E Buchanan, LCSW
• Brent Buchanan, RTT CMD

• Family Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.