Individual provider Active NPI

Rosemary Mukundi Nyawira, LPN

  • Licensed Practical Nurse
  • Peabody, MA
National Provider Identifier
1790213296
Registry record updated May 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
68970 Issued in MA
Practice address
4 Blueberry Way
Peabody, MA 01960-4940
Phone
(781) 405-6716
NPI assigned
May 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 68970 MA Primary

Addresses

Primary practice location

4 Blueberry Way
Peabody, MA 01960-4940

Mailing address

4 Blueberry Way
Peabody, MA 01960-4940
Phone (781) 405-6716

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
68970MAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Roz Fyutcha Inc CurrentSince Jan 4, 2026 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": "1495843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495843200000",
    "number": "1790213296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BLUEBERRY WAY",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604940",
            "telephone_number": "781-405-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BLUEBERRY WAY",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604940",
            "telephone_number": "781-405-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYAWIRA",
        "first_name": "ROSEMARY",
        "middle_name": "MUKUNDI",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-27",
        "last_updated": "2017-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "68970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2017; 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.