Molly N/a Nakiberu

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LN88641 Issued in MA

Practice address

211 Brookfield Rd
Sturbridge, MA 01518-1024

Phone

(508) 218-9602

NPI assigned

Dec 19, 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

Other identifiers 1

Electronic endpoints 2

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": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1306558770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BROOKFIELD RD",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015181024",
            "telephone_number": "508-215-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BROOKFIELD RD",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015181024",
            "telephone_number": "508-218-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKIBERU",
        "first_name": "MOLLY",
        "middle_name": "N/A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN88641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1869",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "url",
            "affiliation": "N",
            "endpointDescription": "url",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "211 Brookfield Rd",
            "city": "Sturbridge",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015181024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "5082159602",
            "affiliation": "N",
            "endpointDescription": "phone number",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "211 Brookfield Rd",
            "city": "Sturbridge",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015181024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Ann Murphy
• Kristina Marie Murray, PT, DPT
• Dawn Marie Myers, PT
• Myeyedr Optometry of Massachusetts P C
• N. Kenneth Lamura, DDS, PC
• Christopher Newell
• Brian Vinh Nguyen, DDS
• Jennifer Lynn O'Neil
• Jennifer O'Neill
• Ayodeji E Okorafor, PMHNP

• Licensed Practical Nurse in Sturbridge, MA
• Providers in Sturbridge, 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 Dec 19, 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.

Verify at the official NPI Registry.