Active NPI
Sana Morondia Gabisi, RN
- Hemodialysis Registered Nurse
- Hyde Park, MA
National Provider Identifier
1922295229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hemodialysis Registered Nurse
- License
- 204776
- Practice address
- 116 Bradlee St Apt 10
Hyde Park, MA 02136-2227 - Phone
- (617) 364-4688
- NPI assigned
- Oct 1, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hemodialysis Registered Nurse | 163WH0500X | 204776 | MA | Primary |
Addresses
Primary practice location
116 Bradlee St Apt 10
Hyde Park, MA 02136-2227
Mailing address
116 Bradlee St Apt 10
Hyde Park, MA 02136-2227
Phone (617) 364-4688
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
| License | State | Type | Specialty |
|---|---|---|---|
| 204776 | MA | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191196800000",
"number": "1922295229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 BRADLEE ST APT 10",
"city": "HYDE PARK",
"state": "MA",
"postal_code": "021362227",
"telephone_number": "617-364-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 BRADLEE ST APT 10",
"city": "HYDE PARK",
"state": "MA",
"postal_code": "021362227",
"telephone_number": "617-364-4688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABISI",
"first_name": "SANA",
"middle_name": "MORONDIA",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-01",
"last_updated": "2007-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hemodialysis",
"state": "MA",
"license": "204776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyde Park, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.