Individual provider Active NPI

Pauline Nabacwa, LPN

  • Licensed Practical Nurse
  • Lowell, MA
National Provider Identifier
1336075241
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LN1002413 Issued in MA
Practice address
27 Jackson St Apt 416
Lowell, MA 01852-2145
Phone
(857) 287-5090
NPI assigned
Jun 18, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X LN1002413 MA Primary

Addresses

Primary practice location

27 Jackson St Apt 416
Lowell, MA 01852-2145

Mailing address

27 Jackson St Apt 416
Lowell, MA 01852-2145
Phone (857) 287-5090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1336075241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 JACKSON ST APT 416",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522145",
            "telephone_number": "857-287-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 JACKSON ST APT 416",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522145",
            "telephone_number": "857-287-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABACWA",
        "first_name": "PAULINE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN1002413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.