Ajara Mbouombouo Mounchirane

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AG07220153 Issued in MD

Practice address

1010 Skyline Dr Apt 10
Dracut, MA 01826-6140

Phone

(978) 332-2502

NPI assigned

Jul 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  MA, Nurse Practitioner

  Medicare reassignment NPD
• Matrix Medical Plus

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1376973461

  MA

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MA, Nurse Practitioner

  Medicare reassignment NPD

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1184350373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 SKYLINE DR APT 10",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018266140",
            "telephone_number": "978-332-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SKYLINE DR APT 10",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018266140",
            "telephone_number": "978-332-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNCHIRANE",
        "first_name": "AJARA",
        "middle_name": "MBOUOMBOUO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AG07220153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard V Miron, M.D.
• John P. Mitchell, DMD
• Kristina Danielle Moran, M.S. CCC-SLP
• Samantha Jolene Moran
• Linda M Morin, PT,DPT
• Rutendo Faith Moyo, LICSW
• Tracy Mukami
• Brenna Mullin
• Aram Munene
• Beth Mungai

• Nurse Practitioner in Dracut, MA
• Providers in Dracut, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.