Olivia Namubiru, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LN640060 Issued in MA

Practice address

3 Stonehill Dr Apt 5a
Stoneham, MA 02180-3940

Phone

(857) 615-0805

NPI assigned

Jun 3, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786233600000",
    "number": "1245071489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 STONEHILL DR APT 5A",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803940",
            "telephone_number": "857-615-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 STONEHILL DR APT 5A",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803940",
            "telephone_number": "857-615-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMUBIRU",
        "first_name": "OLIVIA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2026-08-09",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN64060",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN640060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mystic Valley Urological Associates Inc.
• Mystic Valley Urological Associates, Inc
• XI NA, M.D., PH.D.
• Kanta Nagpaul, M.D.
• Jane Namatovu
• Nandhavan Dental P LLC
• Ivana Nandhavan, DMD
• Nappa Family Practice PC
• Salvatore M Nardello, D.O.
• David E. Nash, M.D.

• Licensed Practical Nurse in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2026; 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.