Active NPI
Hanati Tarwrisa Lubega
- Gerontology Nurse Practitioner
- Methuen, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- RN265499
- Practice address
- 12 Ingalls CT
Methuen, MA 01844-3712 - Phone
- (978) 996-9698
- NPI assigned
- Feb 24, 2011
- Last updated
- Jul 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | RN265499 | MA | Primary |
Addresses
Primary practice location
12 Ingalls CT
Methuen, MA 01844-3712
Mailing address
12 Ingalls CT
Methuen, MA 01844-3712
Phone (978) 996-9698
Other names 1
- Ms. Hanati Tarwrisa Lubega
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Lafayette SQ
Suite 30
Vernon, CT 06066-4554
Phone (800) 391-0599
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8268 | CT | MD | Professional Counselor |
| RN265499 | MA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HDC Care Solutions, LLC | Gerontology | Current | Accepting new patients |
| Value Based Long Term Care H PC | Current | Accepting new patients | |
| Healthdrive Medical Services Southeast LLC | Gerontology | Current | Accepting new patients |
| Careconnectmd Connecticut PC | Current | Accepting new patients | |
| Reliant Housecalls, PLLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550
175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452
5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264
1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000
30 Lafayette Sq
Ste 30
Vernon, CT 06066
Phone (800) 391-0599
30 Lafayette Sq
Ste 109
Vernon Rockville, CT 06066
Phone (800) 391-0599
155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Nurse Practitioner
- Vernon, CT
- NPI 1720826381
-
- Geriatric Medicine (Internal Medicine) Physician
- Framingham, MA
- NPI 1134951676
CT
-
- Geriatric Medicine (Internal Medicine) Physician
- Stamford, CT
- NPI 1467187336
-
- Nurse Practitioner
- Columbia, MD
- NPI 1437930146
CT, Gerontology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Enhabit Home Health
- Home Health Agency
- Rocky Hill, CT
- NPI 1093812067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1174820245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 INGALLS CT",
"city": "METHUEN",
"state": "MA",
"postal_code": "018443712",
"telephone_number": "978-996-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 INGALLS CT",
"city": "METHUEN",
"state": "MA",
"postal_code": "018443712",
"telephone_number": "978-996-9698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBEGA",
"first_name": "HANATI",
"middle_name": "TARWRISA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-24",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "RN265499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANATI",
"last_name": "LUBEGA",
"middle_name": "TARWRISA",
"prefix": "MS.",
"credential": "NP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.