Active NPI
Nhi Phan, RN , BSN
- Ambulatory Care Registered Nurse
- Malden, MA
National Provider Identifier
1144968405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- RN2300461
- Practice address
- 195 Canal St
Malden, MA 02148-6701 - Phone
- (617) 797-6038
- NPI assigned
- May 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | RN2300461 | MA | Primary |
Addresses
Primary practice location
195 Canal St
Malden, MA 02148-6701
Mailing address
51 Augustus St
Revere, MA 02151-1807
Phone (617) 797-6038
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2300461 | MA | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1144968405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 AUGUSTUS ST",
"city": "REVERE",
"state": "MA",
"postal_code": "021511807",
"telephone_number": "617-797-6038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 CANAL ST",
"city": "MALDEN",
"state": "MA",
"postal_code": "021486701",
"telephone_number": "617-797-6038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "NHI",
"name_prefix": "Ms.",
"credential": "RN , BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "MA",
"license": "RN2300461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.