James Kanyi Kagwanja

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

RN2308265 Issued in MA

Practice address

9 Charles St
Danvers, MA 01923-1910

Phone

(978) 866-1028

NPI assigned

Jan 19, 2021

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 and National Provider Directory roles.

• Benedicta Home Care Agency LLC

  • Home Health Agency
  • Methuen, MA
  • NPI 1609640523
  NPD

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1083204606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CHARLES ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231910",
            "telephone_number": "978-866-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CHARLES ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231910",
            "telephone_number": "978-866-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGWANJA",
        "first_name": "JAMES",
        "middle_name": "KANYI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "RN2308265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Jordan, PA
• Melissa Joseph
• John Judd, DPT
• Vicky Jusma
• Maria Kachinski
• David J Kahan, M.D.
• Caroline Kaigai
• Rafael Kakazu, M.D.
• Caitlyn Kamalich
• Kenneth Kamau

• Adult Psychiatric/Mental Health Registered Nurse in Danvers, MA
• Providers in Danvers, MA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.