Active NPI
Kenneth Kamiri
- Registered Nurse
- West Boylston, MA
National Provider Identifier
1881059137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN2297341
- Practice address
- 354 W Boylston St
West Boylston, MA 01583-2373 - Phone
- (774) 261-8477
- NPI assigned
- Dec 30, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2297341 | MA | Primary |
Addresses
Primary practice location
354 W Boylston St
West Boylston, MA 01583-2373
Mailing address
88 4TH St
Worcester, MA 01602-3132
Phone (508) 414-6730
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN2297341 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1881059137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 4TH ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016023132",
"telephone_number": "508-414-6730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 W BOYLSTON ST",
"city": "WEST BOYLSTON",
"state": "MA",
"postal_code": "015832373",
"telephone_number": "774-261-8477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMIRI",
"first_name": "KENNETH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-30",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2297341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Boylston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.