Ann Nyambura Kamanga, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2331419 Issued in MA

Practice address

12 Queen St
Worcester, MA 01610-2411

Phone

(774) 386-5056

NPI assigned

Feb 5, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Community Healthlink Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Worcester, MA
  • NPI 1649293028
  Medicare reassignment NPD
• Counseling Center at Millbury LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Millbury, MA
  • NPI 1922646272
  Medicare reassignment NPD
• Devens Treatment & Recovery Center, LLC

  • Psychiatry Physician
  • Devens, MA
  • NPI 1811473267

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Evolve Recovery Center at Millbury LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Millbury, MA
  • NPI 1407523244
  Medicare reassignment
• Community Healthlink, Inc.

  • Community Health Clinic/Center
  • Worcester, MA
  • NPI 1235387879
  NPD

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1659134369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 QUEEN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102411",
            "telephone_number": "774-386-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 QUEEN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102411",
            "telephone_number": "774-386-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMANGA",
        "first_name": "ANN",
        "middle_name": "NYAMBURA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2331419",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2331419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flavia Kalungi
• Alyssa Blane Kalustian, MD
• Rebecca Kam, D.D.S.
• Anitha Kamalanathan, MD
• Shervin Kamalian, MD, MSC
• Sonia Kamath, M.D.
• Anthony Kamau
• Vikram Kambampati, MD
• Bryan Kamel
• Dhay Munir Kamel, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.