Diana Sengooba

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LN87810 Issued in MA

Practice address

356 Lincoln St Apt 4
Waltham, MA 02451-2139

Phone

(617) 606-1716

NPI assigned

Mar 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Home Recovery Healthcare

  • Home Health Agency
  • Waltham, MA
  • NPI 1720887359
  NPD Authorized official

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1972005049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 LINCOLN ST APT 4",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024512139",
            "telephone_number": "617-606-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 LINCOLN ST APT 4",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024512139",
            "telephone_number": "617-606-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENGOOBA",
        "first_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN87810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Seitzer, LICSW
• Simon Maurice Sebastian Selwyn, CNP
• Sema Home Care and Transportation LLC
• Nicole M. Semon, PT, DPT, PCS
• Judith W Semonoff, LICSW
• Serenity Mind and Wellness LLC
• Thomas Servidio
• Keri Anne Sexton, NP
• Krina Shah, DPT
• Shreyansh Shah, MD

• Licensed Practical Nurse in Waltham, MA
• Providers in Waltham, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.