Individual provider Active NPI

Henrietta Amaka Ewuzie, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1003680794
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2331615 Issued in MA
Practice address
14 Heritage CT
Brockton, MA 02302-1965
Phone
(857) 233-1890
NPI assigned
Nov 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2331615 MA
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X RN2331615 MA Primary

Addresses

Primary practice location

14 Heritage CT
Brockton, MA 02302-1965

Mailing address

14 Heritage CT
Brockton, MA 02302-1965
Phone (857) 233-1890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250212002090 MA Practitioner - Nurse Practitioner 0941730469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Volunteers of America of Massachusetts Inc.Group PAC ID 8325097025, 19 clinicians

Practice addresses (Care Compare)

5 Post Office SQ
Taunton, MA 02780-3206
Phone (719) 651-9226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2331615MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America of Massachusetts Inc Single Specialty CurrentSince Feb 2, 2026 Accepting new patients
The Family Center Past Accepting new patients

Locations

1419 Hancock St
Quincy, MA 02169
Phone (617) 328-0639

1419 Hancock St
Ste 200
Quincy, MA 02169
Phone (617) 770-9690

5 Post Office Sq
Taunton, MA 02780
Phone (508) 822-4027

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/voamass/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1003680794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HERITAGE CT",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023021965",
            "telephone_number": "857-233-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HERITAGE CT",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023021965",
            "telephone_number": "857-233-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWUZIE",
        "first_name": "HENRIETTA",
        "middle_name": "AMAKA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2331615",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2331615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.