Nazaire B. Nzikoba, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2328665 Issued in MA

Practice address

1290 Tremont St
Roxbury, MA 02120-3432

Phone

(617) 427-1000

Fax

(617) 858-2669

NPI assigned

Mar 24, 2021

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• Whittier Street Health Center Committee Inc

  dba Whittier Street Health Center

  • Clinic/Center
  • Roxbury Crossing, MA
  • NPI 1457397986
  NPD (past)

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1750968962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DEARBORN RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033017",
            "telephone_number": "617-669-8290"
        },
        {
            "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": "617-427-1000",
            "fax_number": "617-858-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NZIKOBA",
        "first_name": "NAZAIRE",
        "middle_name": "B.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2328665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Rose Nshimiyumukiza, APRN
• Nuevo Dia Adult Day Health Center
• Jessica Marie Nuhibian Boisvert, MSW, LCSW, CEIS
• Carolina Nunez
• Grace Ngozi Nwokeji-Iwuala, MASTERS IN EDUCATION
• Lauren O'Brien
• Shannon O'Brien, MSW, LICSW
• Celine O'Connor
• Tegan O'Neill, LICSW
• Amy R Offenberg, MSW MPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.