Individual provider Active NPI

Nathan Kinyanjui

  • Licensed Practical Nurse
  • Norton, MA
National Provider Identifier
1144645110
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LN89601 Issued in MA
Practice address
108 W Main St
Norton, MA 02766-1248
Phone
(508) 285-9400
Fax
(508) 285-6573
NPI assigned
Feb 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LN89601 MA Primary

Addresses

Primary practice location

108 W Main St
Norton, MA 02766-1248

Mailing address

108 W Main St
Norton, MA 02766-1248
Phone (508) 285-9400

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LN89601MAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Mental Health Past Accepting new patients
The Commonwealth of Massachusetts Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1144645110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W MAIN ST",
            "city": "NORTON",
            "state": "MA",
            "postal_code": "027661248",
            "telephone_number": "508-285-9400",
            "fax_number": "508-285-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W MAIN ST",
            "city": "NORTON",
            "state": "MA",
            "postal_code": "027661248",
            "telephone_number": "508-285-9400",
            "fax_number": "508-285-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINYANJUI",
        "first_name": "NATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN89601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.