Sadikatu Bundu

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

SP032617 Issued in PA

Practice address

1006 Domino LN
Warminster, PA 18974-2208

Phone

(215) 520-0766

NPI assigned

Apr 21, 2025

Last updated

Apr 21, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1811784184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 DOMINO LN",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742208",
            "telephone_number": "215-520-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 DOMINO LN",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742208",
            "telephone_number": "215-520-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDU",
        "first_name": "SADIKATU",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP032617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gerontology Nurse Practitioner in Warminster, PA
• Providers in Warminster, PA by specialty
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.