Individual provider Active NPI

Elizabeth Kyambadde, BSN

  • Registered Nurse
  • N Chelmsford, MA
National Provider Identifier
1104691021
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2274986 Issued in MA
Practice address
25 Dunshire Dr
N Chelmsford, MA 01863-1307
Phone
(781) 632-1888
NPI assigned
Nov 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN2274986 MA Primary
Nurse Practitioner 363L00000X RN2274986 MA

Addresses

Primary practice location

25 Dunshire Dr
N Chelmsford, MA 01863-1307

Mailing address

25 Dunshire Dr
N Chelmsford, MA 01863-1307
Phone (781) 632-1888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN2274986MAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1104691021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 DUNSHIRE DR",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018631307",
            "telephone_number": "781-632-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 DUNSHIRE DR",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018631307",
            "telephone_number": "781-632-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYAMBADDE",
        "first_name": "ELIZABETH",
        "credential": "BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2274986",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2274986",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.