Active NPI
Keziah Catherine Nalukwago
- Primary Care Nurse Practitioner
- Salem, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- RN2269765
- Practice address
- North Shore Community Health
27 Congress Street, Suite 513
Salem, MA 01970 - Phone
- (978) 825-1175
- NPI assigned
- Aug 15, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN2269765 | MA | Primary |
Addresses
Primary practice location
North Shore Community Health
27 Congress Street, Suite 513
Salem, MA 01970
Mailing address
North Shore Community Health
27 Congress Street, Suite 513
Salem, MA 01970
Phone (978) 825-1175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN2269765 | Medicaid | MA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
47 Congress St
Salem, MA 01970-7308
Phone (978) 744-8388
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2269765 | MA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Community Health, Inc | Current | Accepting new patients |
Locations
89 Foster St
Peabody, MA 01960
Phone (978) 532-4903
27 Congress St
Ste 513
Salem, MA 01970
Phone (978) 825-1175
47 Congress St
Salem, MA 01970
Phone (978) 744-8388
Interoperability endpoints
- knalukwago34620@direct.ctc.masshiway.net
Organizations & group practices 2
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.
-
dba Salem Family Health Center
- Federally Qualified Health Center (FQHC)
- Salem, MA
- NPI 1588910384
-
dba Peabody Family Health Center
- Federally Qualified Health Center (FQHC)
- Peabody, MA
- NPI 1124373022
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Salem Hospital
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1770201915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NORTH SHORE COMMUNITY HEALTH",
"address_2": "27 CONGRESS STREET, SUITE 513",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "978-825-1175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NORTH SHORE COMMUNITY HEALTH",
"address_2": "27 CONGRESS STREET, SUITE 513",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "978-825-1175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NALUKWAGO",
"first_name": "KEZIAH",
"middle_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-15",
"last_updated": "2022-08-15",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MA",
"license": "RN2269765",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN2269765",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.