Individual provider Active NPI

Lydia Nazziwa Martha Nazziwa

  • Adult Companion
  • Hillsboro, OR
National Provider Identifier
1740098987
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
0000000139 Issued in OR
Practice address
835 NE Josephine St
Hillsboro, OR 97124-1734
Phone
(978) 395-6111
Fax
(971) 864-6968
NPI assigned
Dec 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X 0000000139 OR Primary

Addresses

Primary practice location

835 NE Josephine St
Hillsboro, OR 97124-1734

Mailing address

835 NE Josephine St
Hillsboro, OR 97124-1734
Phone (978) 395-6111

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

LicenseStateTypeSpecialty
0000000139ORMDAdult Companion

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Adult Home Care CurrentSince Dec 29, 2024 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": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1740098987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 NE JOSEPHINE ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971241734",
            "telephone_number": "978-395-6111",
            "fax_number": "971-864-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 NE JOSEPHINE ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971241734",
            "telephone_number": "978-395-6111",
            "fax_number": "971-864-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZZIWA",
        "first_name": "LYDIA NAZZIWA",
        "middle_name": "MARTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "OR",
            "license": "0000000139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

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

Verify at the official NPI Registry.