Priscilla Wambui, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

280804 Issued in MA

Practice address

135 Webster Street
Hanover, MA 02339

Phone

(781) 429-7755

NPI assigned

Sep 14, 2022

Last updated

Sep 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Informatix Health Inc

  • Nursing Care Agency
  • Brockton, MA
  • NPI 1922609932
  NPD Authorized official
• Rightcare at Home LLC

  • Home Health Agency
  • Brockton, MA
  • NPI 1568836963
  Authorized official Same address or phone
• Elite Group Health Services LLC

  • Family Nurse Practitioner
  • Randolph, MA
  • NPI 1053096677
  NPD

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1013639228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 1ST STREET",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "781-267-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WEBSTER STREET",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "02339",
            "telephone_number": "781-429-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMBUI",
        "first_name": "PRISCILLA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "280804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twenty-Twenty Vision,Inc. (Pearle Vision)
• Cynthia Ullman, LICSW
• Louis J Vanrenen, LIC. AC.
• Rashmi Vasudeva, DMD
• Donna Waal, RPH
• Kelsey Waters
• Webb Sports Physical Therapy, LLC (Podium Performance Therapy)
• Samuel H Webb, DPT
• Jennie Rose Winsper
• Leshelle D Woodard, PH.D.

• Psychiatric/Mental Health Nurse Practitioner in Hanover, MA
• Providers in Hanover, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.