Active NPI
Germaine Mbuh
- Nurse Practitioner
- Coralville, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- G172305
- Practice address
- 304 4TH Ave Apt 28
Coralville, IA 52241-2598 - Phone
- (641) 814-6161
- NPI assigned
- Sep 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 147037 | IA | |
| Nurse Practitioner | 363L00000X | G172305 | IA | Primary |
Addresses
Primary practice location
304 4TH Ave Apt 28
Coralville, IA 52241-2598
Mailing address
304 4TH Ave Apt 28
Coralville, IA 52241-2598
Phone (641) 814-6161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NY, WA, AZ, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147037 | IA | MD | Licensed Practical Nurse |
| G172305 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geric New Dawn Psychiatry PC | Current | Accepting new patients | |
| Gaq Inner Peace Psychiatry | Current | Accepting new patients | |
| Geric New Dawn Psychiatry PLLC | Current | Accepting new patients | |
| Optimum Healthcare Services LLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Current | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
1312 17th St
Denver, CO 80202
Phone (303) 997-0305
5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
4515 N River Blvd NE
Ste 200
Cedar Rapids, IA 52411
Phone (254) 423-8591
699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920
1700 S 1st Ave
Ste 25A
Iowa City, IA 52240
Phone (319) 849-8114
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cedar Rapids, IA
- NPI 1255028973
CO
-
- Psychiatric/Mental Health Nurse Practitioner
- North Liberty, IA
- NPI 1144196643
-
- Psychiatric/Mental Health Nurse Practitioner
- Pittsfield, MA
- NPI 1932066248
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Waukee, IA
- NPI 1538881297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1689157927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 4TH AVE APT 28",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412598",
"telephone_number": "641-814-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 4TH AVE APT 28",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412598",
"telephone_number": "641-814-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBUH",
"first_name": "GERMAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-12",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "IA",
"license": "147037",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "G172305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.