Individual provider Active NPI

Annbella Batte Muyanja

  • Licensed Practical Nurse
  • Woburn, MA
National Provider Identifier
1063234631
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LN97293 Issued in MA
Practice address
8 Westgate Dr Apt 107
Woburn, MA 01801-6429
Phone
(781) 535-1362
NPI assigned
Oct 25, 2024
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LN97293 MA Primary

Addresses

Primary practice location

8 Westgate Dr Apt 107
Woburn, MA 01801-6429

Mailing address

8 Westgate Dr Apt 107
Woburn, MA 01801-6429
Phone (781) 535-1362

Other practice location 1

8 Westgate Dr Apt 107
Woburn, MA 01801-6429
Phone (781) 535-1362

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

State licenses

LicenseStateTypeSpecialty
LN97293MAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1063234631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WESTGATE DR APT 107",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016429",
            "telephone_number": "781-535-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WESTGATE DR APT 107",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016429",
            "telephone_number": "781-535-1362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Westgate Dr Apt 107",
            "address_purpose": "LOCATION",
            "city": "Woburn",
            "state": "MA",
            "postal_code": "018016429",
            "country_code": "US",
            "telephone_number": "781-535-1362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUYANJA",
        "first_name": "ANNBELLA",
        "middle_name": "BATTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN97293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.