Active NPI
Jeanine Marie Kuna, FNP
- General Practice Registered Nurse
- South Bend, IN
National Provider Identifier
1770855835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 71003535A
- Practice address
- 320 S Saint Joseph St
Suite 300
South Bend, IN 46601-2308 - Phone
- (574) 406-6376
- NPI assigned
- Feb 6, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 71003535A | IN | Primary |
Addresses
Primary practice location
320 S Saint Joseph St
Suite 300
South Bend, IN 46601-2308
Mailing address
320 Dr Martin Luther King Jr Dr S Ste 300
South Bend, IN 46601-2358
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71003535A | IN | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everside Health, LLC | Current | Accepting new patients |
Locations
320 S Dr Martin Luther King Jr Blvd
Ste 300
South Bend, IN 46601
Phone (574) 406-6376
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- South Bend, IN
- NPI 1609232321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1770855835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 DR MARTIN LUTHER KING JR DR S STE 300",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466012358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 S SAINT JOSEPH ST",
"address_2": "SUITE 300",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466012308",
"telephone_number": "574-406-6376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNA",
"first_name": "JEANINE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-06",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "IN",
"license": "71003535A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.