Sara Marie Kanarkiewicz, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN2325583 Issued in MA

Practice address

11 Circle Ave
Lynn, MA 01905-3050

Phone

(781) 595-2413

NPI assigned

Apr 19, 2022

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1073256905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 QUAIL RD",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019605010",
            "telephone_number": "978-335-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CIRCLE AVE",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019053050",
            "telephone_number": "781-595-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANARKIEWICZ",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "RN2325583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Lyn Jurena, MPH, RN, MS, WHNP-BC
• Lisbeth W Kagunda, RN
• Nasser Kamali
• Eric Kamba, MSW
• Viviane T. Kamba, MPH
• Kristen M Kansiewicz
• Lescane Kao
• David Tamba Kapindi
• Jacob Karas, MD
• Demetra Karlis, DMD

• Addiction (Substance Use Disorder) Registered Nurse in Lynn, MA
• Providers in Lynn, MA by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.