Individual provider Active NPI

Jane Nabisere Matovu, RN

  • Registered Nurse
  • Peabody, MA
National Provider Identifier
1619717915
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2375953 Issued in MA
Practice address
3 Sarahs Way
Peabody, MA 01960-4948
Phone
(865) 406-1647
NPI assigned
May 27, 2024
Last updated
May 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2375953 MA Primary

Addresses

Primary practice location

3 Sarahs Way
Peabody, MA 01960-4948

Mailing address

3 Sarahs Way
Peabody, MA 01960-4948
Phone (865) 406-1647

Other names 1

  • Jane Nabisere Matovu X Professional name

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2375953MAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1619717915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SARAHS WAY",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604948",
            "telephone_number": "865-406-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SARAHS WAY",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604948",
            "telephone_number": "865-406-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOVU",
        "first_name": "JANE",
        "middle_name": "NABISERE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2375953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "MATOVU",
            "middle_name": "NABISERE",
            "suffix": "X",
            "credential": "REGISTERED  NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.