Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laura Kanyimbo, DNP

Individual provider Family Nurse Practitioner · NPI 1811744931

Laura Kanyimbo, DNP is a Nurse Practitioner in South Bend, Indiana. Qualified in 2023, 3 years ago. Practices with Privia Medical Group Indiana LLC, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2024
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

610 N Michigan St Ste 400
South Bend, IN 46601-1081
Phone: (574) 647-8120
Fax: (574) 647-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 610 N Michigan St Ste 306, South Bend, IN 46601-1079 — (574) 647-6500

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71015198A (IN)

Record details

NPI number1811744931
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedMay 6, 2024
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Privia Medical Group Indiana Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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