Active NPI
Nnenna C Echebiri, R.N.
- Registered Nurse
- Boston, MA
National Provider Identifier
1043342009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 263565
- Practice address
- 780 Albany St
Boston, MA 02118-2755 - Phone
- (857) 654-1000
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 263565 | MA | Primary |
Addresses
Primary practice location
780 Albany St
Boston, MA 02118-2755
Mailing address
780 Albany St
Boston, MA 02118-2755
Phone (857) 654-1000
Other practice location 1
729 Massachusetts Ave
Boston, MA 02118-2318
Phone (617) 414-7779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263565 | MA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evans Medical Foundation, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1912954124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1043342009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 ALBANY ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182755",
"telephone_number": "857-654-1000",
"fax_number": "857-654-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 ALBANY ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182755",
"telephone_number": "857-654-1000"
}
],
"practiceLocations": [
{
"address_1": "729 Massachusetts Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182318",
"country_code": "US",
"telephone_number": "617-414-7779",
"fax_number": "617-414-5418",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ECHEBIRI",
"first_name": "NNENNA",
"middle_name": "C",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "263565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.