Individual provider Active NPI

Julius Nkezea Nwetbefua

  • Home Health Registered Nurse
  • Leominster, MA
National Provider Identifier
1952128779
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN10002503 Issued in MA
Practice address
82 Mooreland Ave
Leominster, MA 01453-2430
Phone
(781) 346-2742
NPI assigned
Sep 23, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X RN10002503 MA
Home Health Registered Nurse 163WH0200X RN10002503 MA Primary

Addresses

Primary practice location

82 Mooreland Ave
Leominster, MA 01453-2430

Mailing address

82 Mooreland Ave
Leominster, MA 01453-2430
Phone (781) 346-2742

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
RN10002503MAMDHome Health Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1952128779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 MOORELAND AVE",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532430",
            "telephone_number": "781-346-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 MOORELAND AVE",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532430",
            "telephone_number": "781-346-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWETBEFUA",
        "first_name": "JULIUS",
        "middle_name": "NKEZEA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MA",
            "license": "RN10002503",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MA",
            "license": "RN10002503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.