Individual provider Active NPI

Rutendo Kamudzandu, NP

  • Gerontology Nurse Practitioner
  • Independence, MO
National Provider Identifier
1699195602
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2014011352 Issued in MO
Practice address
19401 E 39TH St S
Independence, MO 64057-2308
Phone
(816) 490-4277
NPI assigned
Apr 17, 2014
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 2014011352 MO Primary

Addresses

Primary practice location

19401 E 39TH St S
Independence, MO 64057-2308

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Other names 1

  • Rutendo Chiunda Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rutendo.kamudzandu.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20140613001921 MO Practitioner - Nurse Practitioner 0143444182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19401 E 39TH St S
Independence, MO 64057-2308
Phone (816) 490-4277

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2014011352MOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (Mo) PC CurrentSince Jan 6, 2025 Accepting new patients
Centerwell Senior Primary Care (Mo) PC Current Accepting new patients
Centerwell Senior Primary Care (Mo) PC CurrentSince Jan 6, 2025 Accepting new patients
Serafini Medical, P.C. PastSince Oct 20, 2014 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1513 Main St
Grandview, MO 64030
Phone (816) 731-1890

19401 E 39th St S
Independence, MO 64057
Phone (816) 490-4277

Interoperability endpoints

  • Direct secure messaging: rutendo.kamudzandu@centerwell.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1699195602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 E 39TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572308",
            "telephone_number": "816-490-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMUDZANDU",
        "first_name": "RUTENDO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2014011352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rutendo.kamudzandu.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "19401 E 39th St S",
            "city": "Independence",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640572308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RUTENDO",
            "last_name": "CHIUNDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.