Individual provider Active NPI

Rita Asiegbunam, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynn, MA
National Provider Identifier
1376160887
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2019074077 Issued in MA
Practice address
98 Kirtland St Apt 2
Lynn, MA 01905-1821
Phone
(781) 346-1126
NPI assigned
Jun 30, 2020
Last updated
Jun 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 2019074077 MA Primary

Addresses

Primary practice location

98 Kirtland St Apt 2
Lynn, MA 01905-1821

Mailing address

98 Kirtland St Apt 2
Lynn, MA 01905-1821
Phone (781) 346-1126

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
I20210405002170 MA Practitioner - Nurse Practitioner 6002223237 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
High Point Treatment Center IncGroup PAC ID 3779578174, 41 clinicians

Practice addresses (Care Compare)

68 N Front St
New Bedford, MA 02740-7327
Phone (508) 992-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2019074077MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Health Services LLC Single Specialty CurrentSince Apr 12, 2023 Accepting new patients
NG Psych Services LLC Single Specialty CurrentSince Sep 21, 2022 Accepting new patients
The McLean Hospital Corporation Single Specialty CurrentSince Jul 25, 2022 Accepting new patients
Comprehensive Health Services, LLC Single Specialty CurrentSince Apr 12, 2023 Accepting new patients
High Point Treatment Center Inc. Single Specialty CurrentSince Aug 1, 2021 Accepting new patients

Locations

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

30 Meadowbrook Rd
Brockton, MA 02301
Phone (508) 408-6190

2 Cthouse Ln
Ste 3
Chelmsford, MA 01824
Phone (978) 275-9444

23 Isaac St
Middleboro, MA 02346
Phone (774) 419-1000

687 Highland Ave
Needham Heights, MA 02494
Phone (617) 527-4610

108 N Front St
New Bedford, MA 02740
Phone (508) 689-5576

68 N Front St
New Bedford, MA 02740
Phone (508) 689-5576

72 Kilburn St
New Bedford, MA 02740
Phone (774) 213-8448

1233 State Rd
Plymouth, MA 02360
Phone (508) 224-6527

61 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 746-8977

1 Taunton Grn
Ste 9
Taunton, MA 02780
Phone (774) 476-9262

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1376160887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 KIRTLAND ST APT 2",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019051821",
            "telephone_number": "781-346-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 KIRTLAND ST APT 2",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019051821",
            "telephone_number": "781-346-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASIEGBUNAM",
        "first_name": "RITA",
        "credential": "MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2019074077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.