Individual provider Active NPI

Harriet J. Kasozi, FNP

  • Family Nurse Practitioner
  • Salem, MA
National Provider Identifier
1770777963
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
256285 Issued in MA
Practice address
55 Highland Ave Ste 304
Salem, MA 01970-2100
Phone
(978) 354-4611
Fax
(978) 354-4651
NPI assigned
Aug 30, 2007
Last updated
Jan 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 256285 MA Primary

Addresses

Primary practice location

55 Highland Ave Ste 304
Salem, MA 01970-2100

Mailing address

55 Highland Ave Ste 304
Salem, MA 01970-2100
Phone (978) 354-4611

Other names 1

  • Harriet J Namubiru Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081216000028 MA Practitioner - Nurse Practitioner 7315009990 Reassigns benefits to 5 organizations
I20240315003279 NH Practitioner - Nurse Practitioner 7315009990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goldstar Medical Associates LLCGroup PAC ID 8527436641, 7 clinicians

Practice addresses (Care Compare)

164 Webster St
Malden, MA 02148-4423
Phone (339) 224-0961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
256285MAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Auburn Professional Services CurrentSince Apr 1, 2022 Accepting new patients
Life Choice Hospice of Southern Massachusetts LLC Family CurrentSince Jun 12, 2021 Accepting new patients
Ajay Anand MD PC CurrentSince Mar 1, 2022 Accepting new patients
Charter Health PC CurrentSince Oct 15, 2020 Accepting new patients
Goldstar Medical Associates LLC CurrentSince Oct 1, 2022 Accepting new patients
Mount Auburn Professional Services Inc CurrentSince Apr 1, 2022 Accepting new patients
Ajay Anand MD PC PastSince Mar 1, 2022 Accepting new patients
Ipc Hospitalists of New England, P.C. Family Past Accepting new patients
Hallmark Health Medical Associates Inc Family Past Accepting new patients

Locations

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

790 Turnpike St
Ste 202
North Andover, MA 01845
Phone (978) 777-8222

790 Turnpike St
Ste 302
North Andover, MA 01845
Phone (978) 655-7782

55 Highland Ave
Ste 304
Salem, MA 01970
Phone (978) 354-4611

795 Washington Rd
Rye, NH 03870
Phone (603) 964-7144

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1770777963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE STE 304",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702100",
            "telephone_number": "978-354-4611",
            "fax_number": "978-354-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE STE 304",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702100",
            "telephone_number": "978-354-4611",
            "fax_number": "978-354-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASOZI",
        "first_name": "HARRIET",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "256285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARRIET",
            "last_name": "NAMUBIRU",
            "middle_name": "J",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.