Active NPI
Veronicah Njambi Kimani III, B.ED
- Nurse's Aide
- Lowell, MA
National Provider Identifier
1992369490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CNA-125452
- Practice address
- 23 Pratt Ave Apt 11
Lowell, MA 01851-1554 - Phone
- (978) 319-3744
- NPI assigned
- Apr 30, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nurse's Aide | 376K00000X | CNA-125452 | MA | Primary |
Addresses
Primary practice location
23 Pratt Ave Apt 11
Lowell, MA 01851-1554
Mailing address
109 Oak St Ste G20
Newton, MA 02464-1492
Phone (617) 658-5611
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 065-714-071 | Medicaid | MA | |
| S16162222 | Other | MA | DRIVING LICENSE |
| S16162222 | Other | MA | DRIVERS LICENSE |
Other names 1
- N/a N/a N/a
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 |
|---|---|---|---|
| CNA-125452 | MA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1992369490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 OAK ST STE G20",
"city": "NEWTON",
"state": "MA",
"postal_code": "024641492",
"telephone_number": "617-658-5611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 PRATT AVE APT 11",
"city": "LOWELL",
"state": "MA",
"postal_code": "018511554",
"telephone_number": "978-319-3744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMANI",
"first_name": "VERONICAH",
"middle_name": "NJAMBI",
"name_suffix": "III",
"credential": "B.ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-30",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MA",
"license": "CNA-125452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "065-714-071",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVING LICENSE",
"identifier": "S16162222",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "S16162222",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "N/A",
"last_name": "N/A",
"middle_name": "N/A",
"credential": "N/A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.