Haticha Atahanovna Eisenberg, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2301766 Issued in MA

Practice address

6 JFK St
Cambridge, MA 02138-4909

Phone

(617) 939-3948

NPI assigned

Jul 9, 2020

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1083232797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GREEN LN",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017013689",
            "telephone_number": "617-939-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 JFK ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384909",
            "telephone_number": "617-939-3948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Charles St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021143096",
            "country_code": "US",
            "telephone_number": "617-523-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "HATICHA",
        "middle_name": "ATAHANOVNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2301766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "00000000000",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Boston",
            "affiliation": "N",
            "endpointDescription": "Boston",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Boston",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Boston",
            "address_1": "3 Green Ln",
            "city": "Framingham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017013689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Itua Eghe, DPT
• Shannon Egleson
• Luisa Ehrich
• Mary Katherine Eibye, PHARMD
• Alec Saul Eidelman, DMD
• Jennifer Ashley Eitutis, DMD
• Obinna Ikechukwu Ekekezie, MD
• Sarah El Iskandarani, MD
• Rama El Yafawi, MD
• Kareem El-Tayeb, MD

• Nurse Practitioner in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.