Individual provider Active NPI

Samuel Githinji, R.N.

  • Registered Nurse
  • Auburn, MA
National Provider Identifier
1669872164
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2273953 Issued in MA
Practice address
65 Southbridge St
Suite 220
Auburn, MA 01501-2566
Phone
(774) 243-1179
Fax
(774) 243-1189
NPI assigned
Sep 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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 RN2273953 MA Primary

Addresses

Primary practice location

65 Southbridge St
Suite 220
Auburn, MA 01501-2566

Mailing address

65 Southbridge St
Suite 220
Auburn, MA 01501-2566
Phone (774) 243-1179

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
RN2273953MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Apex K Homecare Inc. Past Accepting new patients

Organizations & group practices 1

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": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1669872164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 SOUTHBRIDGE ST",
            "address_2": "SUITE 220",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012566",
            "telephone_number": "774-243-1179",
            "fax_number": "774-243-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 SOUTHBRIDGE ST",
            "address_2": "SUITE 220",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012566",
            "telephone_number": "774-243-1179",
            "fax_number": "774-243-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITHINJI",
        "first_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2273953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.