Organization Active NPI

Priscilla Nwachukwu

  • Nursing Facility/Intermediate Care Facility
  • Sharon, MA
National Provider Identifier
1417090549
Registry record updated Dec 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
194268 Issued in MA
Legal business name
PRISCILLA NWACHUKWU
Doing business as
priscilla Nwachukwu
Practice address
19 Henry St
Sharon, MA 02067-1714
Phone
(781) 784-0141
Fax
(781) 250-8488
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2011

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

Authorized official

Name
Mrs. Priscilla Nwachukwu, NP
Title
Nurse Practitioner
Phone
(781) 894-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 194268 MA Primary

Addresses

Primary practice location

19 Henry St
Sharon, MA 02067-1714

Mailing address

19 Henry St
Sharon, MA 02067-1714
Phone (781) 784-0141

Other identifiers 1

IdentifierTypeStateIssuer
194268OtherMANURSE PRACTITIONER

Other names 1

  • priscilla Nwachukwu Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323475200000",
    "number": "1417090549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HENRY ST",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671714",
            "telephone_number": "781-784-0141",
            "fax_number": "781-250-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HENRY ST",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671714",
            "telephone_number": "781-784-0141",
            "fax_number": "781-250-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISCILLA NWACHUKWU",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2011-12-10",
        "status": "A",
        "authorized_official_last_name": "NWACHUKWU",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "781-894-3600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MA",
            "license": "194268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "194268",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "priscilla Nwachukwu",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sharon, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2011; 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.