Individual provider Active NPI

Faith Joy Mukisa, RN

  • Registered Nurse
  • Lawrence, MA
National Provider Identifier
1346049830
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2319137 Issued in MA
Practice address
599 Canal St
Lawrence, MA 01840-1244
Phone
(978) 390-4461
Fax
(857) 270-7143
NPI assigned
Mar 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 079881-21 NH
Registered Nurse 163W00000X RN2319137 MA Primary

Addresses

Primary practice location

599 Canal St
Lawrence, MA 01840-1244

Mailing address

4 Gillis St Unit F
Nashua, NH 03060-6321
Phone (978) 390-4461

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2319137MAMDRegistered Nurse
079881-21NHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1346049830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GILLIS ST UNIT F",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030606321",
            "telephone_number": "978-390-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 CANAL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401244",
            "telephone_number": "978-390-4461",
            "fax_number": "857-270-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKISA",
        "first_name": "FAITH",
        "middle_name": "JOY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "079881-21",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2319137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.