PIERRE CELESTIN NKURUNZIZA (NPI# 1902214307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902214307 |
Entity Type | Individual |
Full Name | PIERRE CELESTIN NKURUNZIZA |
Credential | CNP |
Practice Address |
3535 Southern Blvd Kettering OH 45429-1221 |
Mailing Address |
1 Prestige Pl Suite 550 Miamisburg OH 45342-3794 |
Practice Telephone | 9377621306 |
Practice Fax Number | 9375227626 |
Mailing Telephone | 9377621306 |
Mailing Fax Number | 9375227626 |
Enumeration Date | 2014-07-29 |
Last Update Date | 2015-11-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
COA. 16429-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN332681 | OH | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN332681 | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0110691 | 05 |
Street Address |
3535 SOUTHERN BLVD |
City | KETTERING |
State | OH |
Zip Code | 45429-1221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134124183 | David M Brouhard | Anesthesiology | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2005-06-16 |
1245846757 | Rachel Henderson | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-09-21 |
1235745043 | Nipa Mukesh Patel | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1298 | 2020-09-17 |
1104437425 | Stephanie Elizabeth Nicholls | Hospitalist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-08-11 |
1346865144 | Anesthesia Pearls, LLC | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
1568087351 | Pearl Lee | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
1922631761 | Michael Patrick Lorey | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-02-20 |
1801446315 | Madison A Tate | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-09-17 |
1962058966 | Joshua Caleb Courlas | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-15 |
1134775273 | Jason Raymond Leigh | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
Find all providers in zip 45429 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245839844 | Jarred Lee Uhrig | Nurse Practitioner | 3535 Southern Blvd Ste 2100, Kettering, OH 45429-1221 | 2020-10-23 |
1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
1922605732 | Brittany D Watson | Nurse Practitioner | 33 W Rahn Rd, Kettering, OH 45429-2219 | 2020-10-05 |
1225515216 | Madhavi Inturi | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429 | 2018-07-23 |
1770075392 | Bethany Suzanne Setty | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2018-05-30 |
1780113381 | Constance Marie Vann | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2017-06-07 |
1649673500 | Jennifer Watkins | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2014-10-06 |
1316287600 | Chelsea Bevan Long | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2013-02-22 |
1881950103 | Lisa M Hemphill | Nurse Practitioner | 3080 Ackerman Blvd, Ste 100, Kettering, OH 45429-3555 | 2012-04-11 |
Find all providers in KETTERING |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.