Individual provider Active NPI

Kulthum Nakagiri

  • Psychiatric/Mental Health Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1962394379
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2323864 Issued in MA
Practice address
288 Grove St
Worcester, MA 01605-3934
Phone
(508) 799-9432
Fax
(508) 799-7911
NPI assigned
Jul 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2323864 MA Primary

Addresses

Primary practice location

288 Grove St
Worcester, MA 01605-3934

Mailing address

288 Grove St
Worcester, MA 01605-3934
Phone (508) 799-9432

Other names 1

  • N/a N/a Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260123003065 MA Practitioner - Nurse Practitioner 8628555331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

288 Grove St
Worcester, MA 01605-3934
Phone (508) 755-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2323864MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Bridge of Central Massachusetts, Inc CurrentSince Dec 20, 2025 Accepting new patients
The Bridge of Central Massachusetts, Inc. PastSince Dec 20, 2025 Accepting new patients
Family Health Center of Worcester, Inc. PastSince Jul 22, 2025 Accepting new patients

Locations

288 Grove St
Ste 3
Worcester, MA 01605
Phone (508) 318-7600

4 Mann St
Worcester, MA 01602
Phone (508) 318-7350

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1962394379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053934",
            "telephone_number": "508-799-9432",
            "fax_number": "508-799-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053934",
            "telephone_number": "508-799-9432",
            "fax_number": "508-799-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAGIRI",
        "first_name": "KULTHUM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2323864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.