Active NPI
Kevin Mubiru
- Registered Nurse
- Reading, MA
National Provider Identifier
1699520023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN10007712
- Practice address
- 1100 Main St
Reading, MA 01867-1302 - Phone
- (914) 575-2225
- NPI assigned
- Apr 19, 2024
- Last updated
- Apr 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN10007712 | MA | Primary |
Addresses
Primary practice location
1100 Main St
Reading, MA 01867-1302
Mailing address
272 Cambridge Rd Apt 37C
Woburn, MA 01801-6023
Phone (185) 788-0786
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN10007712 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1699520023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 CAMBRIDGE RD APT 37C",
"city": "WOBURN",
"state": "MA",
"postal_code": "018016023",
"telephone_number": "185-788-0786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 MAIN ST",
"city": "READING",
"state": "MA",
"postal_code": "018671302",
"telephone_number": "914-575-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUBIRU",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-19",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN10007712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reading, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.