Individual provider Active NPI

Christiana Okwundu Akanegbu, NP

  • Family Nurse Practitioner
  • North Dartmouth, MA
National Provider Identifier
1659607398
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN 253963 Issued in MA
Practice address
368 Faunce Corner Rd
North Dartmouth, MA 02747-1257
Phone
(508) 985-5014
Fax
(508) 985-5045
NPI assigned
Oct 31, 2009
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN253963 MA
Family Nurse Practitioner 363LF0000X RN 253963 MA Primary

Addresses

Primary practice location

368 Faunce Corner Rd
North Dartmouth, MA 02747-1257

Mailing address

200 Mill Rd
Suite 180
Fairhaven, MA 02719-5252
Phone (508) 973-2000

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
I20101209000619 MA Practitioner - Nurse Practitioner 3274720750 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 253963MAMDFamily Nurse Practitioner
RN253963MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tristan Medical PC CurrentSince Apr 15, 2016 Accepting new patients
Matrix Medical Plus CurrentSince Oct 1, 2021 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 1, 2023 Accepting new patients
Urgent Care Medical Associates of Massachusetts, LLC Current Accepting new patients
Apex Medical Associates LLC CurrentSince Mar 1, 2025 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 1, 2023 Accepting new patients
Carecentral Urgent Care Medical Group PC Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

400 The Fenway
Ste 210224
Boston, MA 02115
Phone (617) 264-7678

1340 Belmont St
Brockton, MA 02301
Phone (508) 559-5108

3 Allied Dr
Dedham, MA 02026
Phone (404) 587-0945

100 Highland St
Ste 103
Milton, MA 02186
Phone (617) 696-9600

Interoperability endpoints

  • Direct secure messaging: christiana.akanegbu.1@3082.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3082/brand/1/csg/22/fhir/r4

Organizations & group practices 7

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": "1256947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1659607398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD",
            "address_2": "SUITE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195252",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 FAUNCE CORNER RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471257",
            "telephone_number": "508-985-5014",
            "fax_number": "508-985-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKANEGBU",
        "first_name": "CHRISTIANA",
        "middle_name": "OKWUNDU",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-31",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN253963",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN 253963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.