Individual provider Active NPI

Kingsley Asare-Mensah, RN

  • Registered Nurse
  • Worcester, MA
National Provider Identifier
1699011528
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2264518 Issued in MA
Practice address
121 Bailey St
Apt E45
Worcester, MA 01602-2267
Phone
(914) 312-5227
NPI assigned
Dec 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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 2264518 MA Primary

Addresses

Primary practice location

121 Bailey St
Apt E45
Worcester, MA 01602-2267

Mailing address

121 Bailey St
Apt E45
Worcester, MA 01602-2267
Phone (914) 312-5227

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
2264518MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jereanna Business Solutions LLC Current 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": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1699011528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BAILEY ST",
            "address_2": "APT E45",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016022267",
            "telephone_number": "914-312-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BAILEY ST",
            "address_2": "APT E45",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016022267",
            "telephone_number": "914-312-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASARE-MENSAH",
        "first_name": "KINGSLEY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "2264518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.