Individual provider Active NPI

Kosisochukwu Nweke, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Framingham, MA
National Provider Identifier
1598543738
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2389675 Issued in MA
Practice address
61 Lincoln St Ste 203
Framingham, MA 01702-8264
Phone
(781) 666-2711
Fax
(781) 666-2712
NPI assigned
Sep 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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 RN2389675 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2389675 MA Primary

Addresses

Primary practice location

61 Lincoln St Ste 203
Framingham, MA 01702-8264

Mailing address

61 Lincoln St Ste 203
Framingham, MA 01702-8264
Phone (508) 500-6168

Other practice location 1

100 New State Hwy
Raynham, MA 02767-5423
Phone (781) 666-2711

Other practice location 2

67 Union St Ste 106
Natick, MA 01760-7700
Phone (781) 666-2711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2389675TXMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1598543738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 LINCOLN ST STE 203",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028264",
            "telephone_number": "508-500-6168",
            "fax_number": "781-666-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 LINCOLN ST STE 203",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028264",
            "telephone_number": "781-666-2711",
            "fax_number": "781-666-2712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 New State Hwy",
            "address_purpose": "LOCATION",
            "city": "Raynham",
            "state": "MA",
            "postal_code": "027675423",
            "country_code": "US",
            "telephone_number": "781-666-2711",
            "fax_number": "781-666-2712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 Union St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Natick",
            "state": "MA",
            "postal_code": "017607700",
            "country_code": "US",
            "telephone_number": "781-666-2711",
            "fax_number": "781-666-2712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWEKE",
        "first_name": "KOSISOCHUKWU",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "RN2389675",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2389675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.