Individual provider Active NPI

Tabby W Kinyanjui, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • North Andover, MA
National Provider Identifier
1306159496
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2009006887 Issued in MA
Practice address
871 Turnpike St Ste 206
North Andover, MA 01845-6127
Phone
(781) 365-8936
Fax
(855) 879-0914
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2009006887 MA Primary

Addresses

Primary practice location

871 Turnpike St Ste 206
North Andover, MA 01845-6127

Mailing address

871 Turnpike St Ste 206
North Andover, MA 01845-6127
Phone (781) 365-8936

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110311000371 MA Practitioner - Nurse Practitioner 2567644511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
LGH Medical Group, Inc.Group PAC ID 3173626751, 165 clinicians

Practice addresses (Care Compare)

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 788-7344

871 Turnpike St
Suite 206
North Andover, MA 01845-6127
Phone (781) 365-8936

Hospital & facility affiliations

  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2009006887MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zuri Counseling Services LLC Psychiatric/Mental Health CurrentSince Jan 26, 2017 Accepting new patients
Northeast Hospital Corporation PastSince Sep 22, 2018 Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Locations

1 Cthouse Lane Un
Ste 3
Chelmsford, MA 01824
Phone (603) 475-2912

871 Turnpike St
Ste 206
North Andover, MA 01845
Phone (508) 834-3620

Interoperability endpoints

  • Direct secure messaging: tkinyanjui46945@tuftsmedicine.direct-ci.com
  • Direct secure messaging: zurics2017@zuricounselingservicesllc.kareodirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1306159496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 TURNPIKE ST STE 206",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456127",
            "telephone_number": "781-365-8936",
            "fax_number": "855-879-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 TURNPIKE ST STE 206",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456127",
            "telephone_number": "781-365-8936",
            "fax_number": "855-879-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINYANJUI",
        "first_name": "TABBY",
        "middle_name": "W",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2009006887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.