Rose Marie Nyakako, AGPCNP-BC, RN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

265667 Issued in MA

Practice address

19 Tacoma St
Worcester, MA 01605-3516

Phone

(508) 852-1805

Fax

(508) 854-3248

NPI assigned

Feb 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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

• Dispatchhealth Massachusetts PC

  • Emergency Medicine Physician
  • Auburn, MA
  • NPI 1629555842
  Medicare reassignment NPD
• HDC Care Solutions, LLC

  • Nurse Practitioner
  • Framingham, MA
  • NPI 1033861349

  Adult Health

  Medicare reassignment NPD
• Healthdrive Behavioral Health Services, PLLC

  • Geriatric Psychiatry Physician
  • Middletown, CT
  • NPI 1760909279

  MA

  Medicare reassignment NPD
• Kelsuby Health & Wellness, LLC

  • Primary Care Clinic/Center
  • Worcester, MA
  • NPI 1790640357
  NPD Authorized official
• Excella Home Health Agency, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Ludlow, MA
  • NPI 1356642110
  NPD (past)

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1467877621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 HOUGHTON RD",
            "city": "PRINCETON",
            "state": "MA",
            "postal_code": "015411225",
            "telephone_number": "978-235-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 TACOMA ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053516",
            "telephone_number": "508-852-1805",
            "fax_number": "508-854-3248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Houghton Rd",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "MA",
            "postal_code": "015411225",
            "country_code": "US",
            "telephone_number": "978-235-2046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Spring Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Ashby",
            "state": "MA",
            "postal_code": "014312213",
            "country_code": "US",
            "telephone_number": "978-913-2514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYAKAKO",
        "first_name": "ROSE MARIE",
        "credential": "AGPCNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "265667",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "265667",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "265667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Nutter
• Anthony Nutter, DMD
• Patrick Anthony Nuzzetti
• Chukwuemeka C Nwanze, M.D.
• Benjamin U Nwosu, M.D.
• Angela Nyambeki Nyakundi, BSN-RN
• Grace Nyamekye
• Jones Johnson Nyansu
• Oumie Hawa Nyassi
• Vanessa Rose Nybo, FNP

• Primary Care Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Primary Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.