Individual provider Active NPI

Kay Mulbah

  • Registered Nurse
  • Johnston, IA
National Provider Identifier
1699535369
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
148674 Issued in IA
Practice address
6060 Glen Cir
Johnston, IA 50131-3030
Phone
(515) 289-6622
NPI assigned
Mar 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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 148674 IA Primary

Addresses

Primary practice location

6060 Glen Cir
Johnston, IA 50131-3030

Mailing address

3130 Winnetka Ave N Apt 104
Crystal, MN 55427-2739
Phone (515) 289-6622

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
148674IAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bility Transport and Healthcare Services LLC Current Accepting new patients
Lan Healthcare Services PLLC CurrentSince Mar 24, 2024 Accepting new patients

Organizations & group practices 2

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": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1699535369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 WINNETKA AVE N APT 104",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554272739",
            "telephone_number": "515-289-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 GLEN CIR",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501313030",
            "telephone_number": "515-289-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULBAH",
        "first_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "148674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.