Individual provider Active NPI

Makeda Kamara, CNM, MPH, M.ED

  • Obstetrics & Gynecology Nurse Practitioner
  • Dorchester Center, MA
National Provider Identifier
1689747164
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
199759 Issued in MA
Practice address
39 Dracut St
Dorchester Center, MA 02124-3818
Phone
(617) 282-9783
Fax
(617) 282-9783
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 199759 MA Primary
Women's Health Clinical Nurse Specialist 364SW0102X 199759 MA

Addresses

Primary practice location

39 Dracut St
Dorchester Center, MA 02124-3818

Mailing address

39 Dracut St
Dorchester Center, MA 02124-3818
Phone (617) 282-9783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201102000154 VI Practitioner - Certified Nurse Midwife (CNM) 3072522937 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Education

State licenses

LicenseStateTypeSpecialty
199759MAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Health Govt of the Virgin Islands CurrentSince Jul 21, 2020 Accepting new patients

Locations

3500 Estate Richmond
St Croix, VI 00820
Phone (340) 718-1311

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1689747164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 DRACUT ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021243818",
            "telephone_number": "617-282-9783",
            "fax_number": "617-282-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 DRACUT ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021243818",
            "telephone_number": "617-282-9783",
            "fax_number": "617-282-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMARA",
        "first_name": "MAKEDA",
        "name_prefix": "Ms.",
        "credential": "CNM, MPH, M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MA",
            "license": "199759",
            "primary": true
        },
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "MA",
            "license": "199759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester Center, MA

Sources for this page

Verify at the official NPI Registry.