Active NPI
Kamilah Shakura Braithwaite, EMT
- Counselor
- Boston, MA
National Provider Identifier
1831536135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 69 Alleghany St
Boston, MA 02120-3336 - Phone
- (617) 372-5981
- NPI assigned
- May 28, 2013
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
69 Alleghany St
Boston, MA 02120-3336
Mailing address
58 Kensington Park
Boston, MA 02119-2278
Phone (617) 372-5981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 894174 | Other | MA | MASSACHUSETTS EMT |
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
- Emergency Medical Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369699200000",
"number": "1831536135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 KENSINGTON PARK",
"city": "BOSTON",
"state": "MA",
"postal_code": "021192278",
"telephone_number": "617-372-5981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 ALLEGHANY ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021203336",
"telephone_number": "617-372-5981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAITHWAITE",
"first_name": "KAMILAH",
"middle_name": "SHAKURA",
"credential": "EMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-28",
"last_updated": "2013-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSACHUSETTS EMT",
"identifier": "894174",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.