Active NPI
Nancy Njema Atimbo
- Nurse Practitioner
- Chicopee, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN265055
- Practice address
- 219 Langevin St
Chicopee, MA 01020-4029 - Phone
- (413) 519-9395
- NPI assigned
- May 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN265055 | MA | Primary |
| Community Health Nurse Practitioner | 363LC1500X | RN265055 | MA |
Addresses
Primary practice location
219 Langevin St
Chicopee, MA 01020-4029
Mailing address
219 Langevin St
Chicopee, MA 01020-4029
Phone (413) 519-9395
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210614002839 | MA | Practitioner - Nurse Practitioner | 4981915303 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home First Vna, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
Interoperability endpoints
- natimbo@landmarkhealth-direct.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Home First Vna, LLC | Home health agency | 5% Or Greater Direct Ownership Interest (49%) Corporate Officer (49%) Corporate Director (49%) W-2 Managing Employee (49%) |
Mar 13, 2025 Mar 13, 2025 Mar 13, 2025 Mar 13, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Springfield, MA
- NPI 1609674092
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
Organizations & group practices 2
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.
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
MA, Nurse Practitioner
-
- Home Health Agency
- Springfield, MA
- NPI 1609674092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432857600000",
"number": "1124407945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 LANGEVIN ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010204029",
"telephone_number": "413-519-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 LANGEVIN ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010204029",
"telephone_number": "413-519-9395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATIMBO",
"first_name": "NANCY",
"middle_name": "NJEMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-26",
"last_updated": "2015-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN265055",
"primary": true
},
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "MA",
"license": "RN265055",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicopee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.