Active NPI
Jane W Ndegwa, NP
- Family Nurse Practitioner
- Boxford, MA
National Provider Identifier
1982685186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 235730
- Practice address
- 200 Washington St
Boxford, MA 01921-1017 - Phone
- (781) 962-3060
- Fax
- (978) 824-3872
- NPI assigned
- Nov 7, 2005
- Last updated
- Apr 3, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 235730 | MA | Primary |
Addresses
Primary practice location
200 Washington St
Boxford, MA 01921-1017
Mailing address
PO Box 3904
Peabody, MA 01961-3904
Phone (781) 883-2919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0701556 | Medicaid | MA |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235730 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayon Medical Group LLC | Current | Accepting new patients | |
| Healthplus LLC | Family | Current | Accepting new patients |
| Woburn Medical Associates PC | Past | Accepting new patients | |
| Brookline Family Counseling Center, Inc | Past | Accepting new patients | |
| National Health Services, Inc | Past | Accepting new patients | |
| Brighton Family Practice, Inc | Past | Accepting new patients | |
| Preventive Medicine Associates | Past | Accepting new patients |
Locations
1075 Westford St
Ste 204
Lowell, MA 01851
Phone (978) 452-2000
280 Union St
Ste 402
Lynn, MA 01901
Phone (781) 780-7755
451 Andover St
Ste 110
North Andover, MA 01845
Phone (978) 794-2000
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396483200000",
"number": "1982685186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3904",
"city": "PEABODY",
"state": "MA",
"postal_code": "019613904",
"telephone_number": "781-883-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WASHINGTON ST",
"city": "BOXFORD",
"state": "MA",
"postal_code": "019211017",
"telephone_number": "781-962-3060",
"fax_number": "978-824-3872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDEGWA",
"first_name": "JANE",
"middle_name": "W",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2014-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "235730",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0701556",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boxford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.