Queen Achoakawa, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Canton, MA
NPI 1386571339 · NPPES record last updated Jul 22, 2026
Key facts
- NPI
- 1386571339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN2288856 (MA)
- Practice address
- 1017 Tumpike Street,
Suite 26a
Canton, MA 02021 - Phone
- (508) 840-7155
- NPI assigned
- May 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2288856 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2288856 | MA | Yes |
| Registered Nurse | 163W00000X | RN2288856 | MA |
Addresses
Primary practice location
1017 Tumpike Street,
Suite 26a
Canton, MA 02021
Mailing address
1017 Tumpike Street, Suite 26a
Suite 26a
Canton, MA 02021
Phone (508) 840-7155
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All providers in Canton, MA · Psychiatric/Mental Health Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.