Individual provider Active NPI

Dorah Phoebe Zalwango, NP

  • Family Nurse Practitioner
  • Dracut, MA
National Provider Identifier
1629700745
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2345243 Issued in MA
Practice address
15 Shea St
Dracut, MA 01826-4420
Phone
(781) 526-6815
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2345243 MA Primary

Addresses

Primary practice location

15 Shea St
Dracut, MA 01826-4420

Mailing address

15 Shea St
Dracut, MA 01826-4420

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
I20241028001172 MA Practitioner - Nurse Practitioner 4880127034 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2345243MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Todays Wellness PLLC CurrentSince Feb 1, 2025 Accepting new patients
Commonwealth Medical Practice LLC CurrentSince Jan 1, 2025 Accepting new patients
Todays Wellness PLLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

290 Littleton Rd
Unit 3
Chelmsford, MA 01824
Phone (978) 258-4734

505 Nashua Rd
Ste 8
Dracut, MA 01826
Phone (978) 957-4474

47 High St
Ste 101
North Andover, MA 01845
Phone (978) 258-4734

790 Turnpike St
Ste 300
North Andover, MA 01845
Phone (978) 327-5960

Interoperability endpoints

  • Direct secure messaging: dorah.zalwango.1@3764.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3764/brand/3/csg/41/fhir/r4

Organizations & group practices 3

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": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1629700745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SHEA ST",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018264420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SHEA ST",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018264420",
            "telephone_number": "781-526-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALWANGO",
        "first_name": "DORAH",
        "middle_name": "PHOEBE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2345243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dracut, MA

Sources for this page

Verify at the official NPI Registry.