Individual provider Active NPI

Sarah Nwamaka Otiono, RN

  • Community Health Registered Nurse
  • Boston, MA
National Provider Identifier
1366716961
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
2258131 Issued in MA
Practice address
33 Bethune Way
Boston, MA 02119-2539
Phone
(617) 233-5947
NPI assigned
Feb 28, 2012
Last updated
Feb 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 2258131 MA Primary

Addresses

Primary practice location

33 Bethune Way
Boston, MA 02119-2539

Mailing address

33 Bethune Way
Boston, MA 02119-2539
Phone (617) 233-5947

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
2258131MAMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1366716961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BETHUNE WAY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021192539",
            "telephone_number": "617-233-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BETHUNE WAY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021192539",
            "telephone_number": "617-233-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTIONO",
        "first_name": "SARAH",
        "middle_name": "NWAMAKA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MA",
            "license": "2258131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.