Marie Rose Nshimiyumukiza, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2307623 Issued in MA

Practice address

1290 Tremont St
Roxbury, MA 02120-3432

Phone

(617) 858-2432

Fax

(617) 989-3054

NPI assigned

Jul 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Interoperability endpoints

• Direct secure messaging: mnshimiyumukiza348818@direct.ochin.org

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1699384685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 LENOX ST UNIT 142",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623694",
            "telephone_number": "857-350-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 TREMONT ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021203432",
            "telephone_number": "617-858-2432",
            "fax_number": "617-989-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NSHIMIYUMUKIZA",
        "first_name": "MARIE ROSE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2307623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Loren Nichols
• Lauren Aubrey Nickell
• Elissa T Nieves
• Nasrin Nikbin, MED
• Bonny C Nothern, NP
• Nuevo Dia Adult Day Health Center
• Jessica Marie Nuhibian Boisvert, MSW, LCSW, CEIS
• Carolina Nunez
• Grace Ngozi Nwokeji-Iwuala, MASTERS IN EDUCATION
• Nazaire B. Nzikoba, CNP

• Family Nurse Practitioner in Roxbury, MA
• Providers in Roxbury, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.