Berenice Tchandjib Kobu, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2283463 Issued in MA

Practice address

382 Treble Cove Rd
North Billerica, MA 01862

Phone

(781) 267-2131

NPI assigned

Feb 8, 2018

Sex

Female

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.

• Elite Sante Plus

  • Family Medicine Physician
  • Billerica, MA
  • NPI 1164355111
  NPD Authorized official

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1093214710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 TREBLE COVE RD",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018622823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 TREBLE COVE RD",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "01862",
            "telephone_number": "781-267-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBU",
        "first_name": "BERENICE",
        "middle_name": "TCHANDJIB",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2283463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JSB Wellness, LLC
• Anne Kananura, NP
• Stephen M Karanja
• Keen Care LLC
• Chih-Ming Ko, D.M.D.
• Wai Kee Lee, D.M.D.
• Life Care Centers of America, Inc.
• Josephine Nakazibwe Lwanga
• Stacey Allison Maclean, MSW, LICSW
• Fathyeh F Marvasti, M.D.

• Family Nurse Practitioner in North Billerica, MA
• Providers in North Billerica, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.