Active NPI
Charlotte Theresa Nanyunja
- Registered Nurse
- Waltham, MA
National Provider Identifier
1932759420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN2319810
- Practice address
- 500 Main St Apt 4D
Waltham, MA 02452-5565 - Phone
- (860) 574-7322
- NPI assigned
- Sep 16, 2019
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2319810 | MA | Primary |
Addresses
Primary practice location
500 Main St Apt 4D
Waltham, MA 02452-5565
Mailing address
500 Main St Apt 4D
Waltham, MA 02452-5565
Phone (860) 574-7322
Other practice location 1
19 Snell St Apt 2
Attleboro, MA 02703-4527
Phone (860) 574-7322
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 |
|---|---|---|---|
| RN2319810 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1932759420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MAIN ST APT 4D",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024525565",
"telephone_number": "860-574-7322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MAIN ST APT 4D",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024525565",
"telephone_number": "860-574-7322"
}
],
"practiceLocations": [
{
"address_1": "19 Snell St Apt 2",
"address_purpose": "LOCATION",
"city": "Attleboro",
"state": "MA",
"postal_code": "027034527",
"country_code": "US",
"telephone_number": "860-574-7322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NANYUNJA",
"first_name": "CHARLOTTE",
"middle_name": "THERESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2319810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.