Individual provider Active NPI

Kobina Abban-Saah, RN

  • Registered Nurse
  • West Roxbury, MA
National Provider Identifier
1770873309
Registry record updated Apr 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2258507 Issued in MA
Practice address
491 Weld St
Apt 2
West Roxbury, MA 02132-1313
Phone
(508) 736-4981
NPI assigned
Apr 16, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2258507 MA Primary

Addresses

Primary practice location

491 Weld St
Apt 2
West Roxbury, MA 02132-1313

Mailing address

491 Weld St
Apt 2
West Roxbury, MA 02132-1313
Phone (508) 736-4981

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2258507MAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1302912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302912000000",
    "number": "1770873309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 WELD ST",
            "address_2": "APT 2",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321313",
            "telephone_number": "508-736-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 WELD ST",
            "address_2": "APT 2",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321313",
            "telephone_number": "508-736-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBAN-SAAH",
        "first_name": "KOBINA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-16",
        "last_updated": "2011-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2258507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2011; 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.