Individual provider Active NPI

Onome Esuturie

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynn, MA
National Provider Identifier
1528791001
Registry record updated Jul 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2278078 Issued in MA
Practice address
330 Lynnway Ste 112
Lynn, MA 01901-1706
Phone
(781) 842-0613
NPI assigned
Jul 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2022

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 Practitioner 363LP0808X RN2278078 MA Primary

Addresses

Primary practice location

330 Lynnway Ste 112
Lynn, MA 01901-1706

Mailing address

330 Lynnway Ste 112
Lynn, MA 01901-1706
Phone (781) 842-0613

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
I20221019002543 MA Practitioner - Nurse Practitioner 7113393927 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eliot Community Human Services CurrentSince Sep 13, 2022 Accepting new patients
Chinne Health Systems LLC CurrentSince Jul 10, 2022 Accepting new patients
Eliot Community Human Services Current Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince May 6, 2024 Accepting new patients
Medical Associates of Ebnhc Current Accepting new patients
Supportive Behavioral Care of Ma LLC CurrentSince Jun 1, 2024 Accepting new patients
Neighborhealth Corporation CurrentSince May 6, 2024 Accepting new patients

Locations

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

86 Baker Avenue Ext
Ste 100
Concord, MA 01742
Phone (978) 202-4156

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

173 Chelsea St
Everett, MA 02149
Phone (617) 397-2020

125 Hartwell Ave
Lexington, MA 02421
Phone (781) 734-2060

330 Lynnway
Ste 112
Lynn, MA 01901
Phone (781) 593-3900

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Interoperability endpoints

  • Direct secure messaging: oesuturie43192@direct.neighborhealth.masshiway.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1656720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656720000000",
    "number": "1528791001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 LYNNWAY STE 112",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011706",
            "telephone_number": "781-842-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LYNNWAY STE 112",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011706",
            "telephone_number": "781-842-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESUTURIE",
        "first_name": "ONOME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-02",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2278078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.