Individual provider Active NPI

Alex Chasulwa Sinkamba

  • Licensed Practical Nurse
  • West Mifflin, PA
National Provider Identifier
1699955799
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
9964686 Issued in PA
Practice address
400 Park Ave Apt 28
West Mifflin, PA 15122-2885
Phone
(412) 466-3101
Fax
(412) 466-3101
NPI assigned
Nov 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Continence Care Registered Nurse 163WC2100X 9964686 PA
Licensed Practical Nurse 164W00000X 9964686 PA Primary

Addresses

Primary practice location

400 Park Ave Apt 28
West Mifflin, PA 15122-2885

Mailing address

400 Park Ave Apt 28
West Mifflin, PA 15122-2885
Phone (412) 466-3101

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
9964686PAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1699955799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PARK AVE APT 28",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151222885",
            "telephone_number": "412-466-3101",
            "fax_number": "412-466-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARK AVE APT 28",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151222885",
            "telephone_number": "412-466-3101",
            "fax_number": "412-466-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINKAMBA",
        "first_name": "ALEX",
        "middle_name": "CHASULWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "PA",
            "license": "9964686",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "9964686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Mifflin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.