Individual provider Active NPI

Edith Kabuga, C.N.P.

  • Gerontology Nurse Practitioner
  • Bedford, MA
National Provider Identifier
1558768242
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN275049 Issued in MA
Practice address
200 Springs Rd
Bedford, MA 01730-1114
Phone
(781) 687-2000
NPI assigned
Nov 25, 2014
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN275049 MA
Gerontology Nurse Practitioner 363LG0600X RN275049 MA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN275049 MA

Addresses

Primary practice location

200 Springs Rd
Bedford, MA 01730-1114

Mailing address

1017 Turnpike St Ste 32a
Canton, MA 02021-2853
Phone (781) 236-7343

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
I20150211000594 MA Practitioner - Nurse Practitioner 2567787781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First-Class Behavioral and Counseling ServicesGroup PAC ID 5395128276, 11 clinicians

Practice addresses (Care Compare)

1017 Turnpike St
Suite 32a
Canton, MA 02021-2853
Phone (781) 236-7343

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN275049MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First-Class Behavioral & Counseling Services Psychiatric/Mental Health CurrentSince Sep 12, 2023 Accepting new patients

Locations

1017 Turnpike St
#32A
Canton, MA 02021
Phone (781) 236-7343

1017 Turnpike St
Ste 32A
Canton, MA 02021
Phone (781) 236-7343

Organizations & group practices 1

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": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1558768242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 TURNPIKE ST STE 32A",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212853",
            "telephone_number": "781-236-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SPRINGS RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301114",
            "telephone_number": "781-687-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABUGA",
        "first_name": "EDITH",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN275049",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN275049",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN275049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, MA

Sources for this page

Verify at the official NPI Registry.