Individual provider Active NPI

James Gitanyu, RN, BSN

  • Registered Nurse
  • Salem, NH
National Provider Identifier
1649827627
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2275487 Issued in MA
Practice address
3 Ganley Dr
Salem, NH 03079-2477
Phone
(978) 809-9388
NPI assigned
Aug 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X RN2275487 MA Primary

Addresses

Primary practice location

3 Ganley Dr
Salem, NH 03079-2477

Mailing address

3 Ganley Dr
Salem, NH 03079-2477
Phone (978) 809-9388

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL jamesgitanyu@gmail.com
Other URL Salem

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20260512001778 OR Practitioner - Nurse Practitioner 5991029803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altea Medical Oregon LLCGroup PAC ID 7315470895, 13 clinicians
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

1250 SE Roberts Ave
Gresham, OR 97080-7846
Phone (918) 392-1702

127 NE 102ND Ave
Suite a
Portland, OR 97220-4152
Phone (541) 998-2395

819 NE 122ND Ave
Portland, OR 97230-2002
Phone (503) 252-0085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2275487MAMDRegistered Nurse

Organizations & group practices 2

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": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1649827627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GANLEY DR",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792477",
            "telephone_number": "978-809-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GANLEY DR",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792477",
            "telephone_number": "978-809-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITANYU",
        "first_name": "JAMES",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2275487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jamesgitanyu@gmail.com",
            "affiliation": "N",
            "address_1": "3 Ganley Dr",
            "city": "Salem",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030792477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Salem",
            "affiliation": "N",
            "address_1": "3 Ganley Dr",
            "city": "Salem",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030792477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.