Individual provider Active NPI

Joyce Kinyua

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1437885886
Registry record updated Oct 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2383952 Issued in MA
Practice address
101 Federal St
Boston, MA 02110-1817
Phone
(323) 205-7088
Fax
(833) 419-0181
NPI assigned
Jul 28, 2022
Last updated
Oct 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 31994 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2383952 MA Primary

Addresses

Primary practice location

101 Federal St
Boston, MA 02110-1817

Mailing address

918 Anniversary LN
Knoxville, TN 37914-4879
Phone (857) 312-6320

Other practice location 1

1701 Ingleside Ave
Athens, TN 37303-2103
Phone (423) 745-8802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221103001655 TN Practitioner - Nurse Practitioner 1951778927
I20231211001482 MA Practitioner - Nurse Practitioner 1951778927 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31994TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteer Behavioral Health Care System Single Specialty CurrentSince Sep 15, 2022 Accepting new patients
Circle Care Behavioral Health LLC Single Specialty CurrentSince Oct 1, 2023 Accepting new patients
Nuru Health Inc CurrentSince Jun 23, 2025 Accepting new patients

Locations

440 Washington St
Unit 201
Weymouth, MA 02188
Phone (781) 428-4128

1805 Ingleside Ave
Athens, TN 37303
Phone (423) 745-3367

413 Spring St
Chattanooga, TN 37405
Phone (423) 756-2740

2700 Executive Park NW
Cleveland, TN 37312
Phone (423) 479-9581

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

Organizations & group practices 3

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": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728172800000",
    "number": "1437885886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 ANNIVERSARY LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379144879",
            "telephone_number": "857-312-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FEDERAL ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101817",
            "telephone_number": "323-205-7088",
            "fax_number": "833-419-0181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Ingleside Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TN",
            "postal_code": "373032103",
            "country_code": "US",
            "telephone_number": "423-745-8802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINYUA",
        "first_name": "JOYCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2024-10-06",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "31994",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2383952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.