PIERRE CELESTIN NKURUNZIZA


Address: 3535 Southern Blvd, Kettering, OH 45429-1221
Phone: 9377621306

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OH 0110691 05

Office Location

Street Address 3535 SOUTHERN BLVD
City KETTERING
State OH
Zip Code 45429-1221

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City KETTERING
Zip Code 45429

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Dataset Information

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.

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