NNAMDI UDEMAGWUNA (NPI# 1255803896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255803896 |
| Entity Type | Individual |
| Full Name | NNAMDI UDEMAGWUNA |
| Practice Address |
774 Albany St Boston MA 02118-3551 |
| Mailing Address |
1010 Massachusetts Avenue Boston MA 02118-2600 |
| Practice Telephone | 6175346171 |
| Mailing Telephone | 6175343134 |
| Mailing Fax Number | 8572882315 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
774 ALBANY ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063431492 | Boston Public Health Commission | Public Health or Welfare | 774 Albany St, Boston, MA 02118-2520 | 2006-07-18 |
| 1073112850 | David E Mattei | Case Manager/Care Coordinator | 774 Albany St, Boston, MA 02118-2551 | 2020-10-22 |
| 1679180830 | Rachel E Holmes | Social Worker | 774 Albany St, Boston, MA 02118-3551 | 2020-09-30 |
| 1760001499 | Denise Renee Haskins | Case Manager/Care Coordinator | 774 Albany St, Boston, MA 02118-3551 | 2020-04-13 |
| 1346888203 | Charles Chidiebere Akwari | Case Manager/Care Coordinator | 774 Albany St, Boston, MA 02118-2600 | 2019-12-11 |
| 1235770264 | Sarah M Hagan | Counselor | 774 Albany St, Boston, MA 02118-3551 | 2019-10-01 |
| 1457992489 | Rachel A Gliniecki | Counselor | 774 Albany St, Boston, MA 02118-3551 | 2019-10-01 |
| 1780246850 | Meghan Elizabeth Johnson | Social Worker | 774 Albany St, Boston, MA 02118-2520 | 2019-06-28 |
| 1679130678 | Jessica A Nieuwenhuizen | Social Worker | 774 Albany St, Boston, MA 02118-2520 | 2019-05-24 |
| 1669941530 | Fabiola Catulle | Case Manager/Care Coordinator | 774 Albany St, Boston, MA 02118-2520 | 2018-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1326696238 | Maria Rodriguez Torres | Case Manager/Care Coordinator | 37 Bowdoin St, Boston, MA 02114-4201 | 2019-09-04 |
| 1346894136 | Audrey Armelle Ndombou | Case Manager/Care Coordinator | 1640 Washington St Boston, Boston, MA 02118 | 2019-07-30 |
| 1780241554 | Neusa De Pina | Case Manager/Care Coordinator | 11640 Washinton Street, Boston, MA 02118 | 2019-05-28 |
| 1821552217 | Joshua A Fonfield | Case Manager/Care Coordinator | 1010 Massachussetts Avenue, Boston, MA 02118-2600 | 2019-01-30 |
| 1699244814 | Hailey Zanes | Case Manager/Care Coordinator | 66 Canal St Fl 4, Boston, MA 02114-2002 | 2018-11-16 |
| 1821581018 | Diane Joseph | Case Manager/Care Coordinator | 31 Woodruff Way, Boston, MA 02126-2610 | 2018-06-12 |
| 1801390059 | Tamanna Tasnim Haque | Case Manager/Care Coordinator | 109 Peterborough St Apt 24, Boston, MA 02215-4225 | 2018-03-22 |
| 1790200673 | Angelina Gneiting | Case Manager/Care Coordinator | 13335 Durantes Curv, Boston, VA 22713-4229 | 2017-08-11 |
| 1083022065 | Cyril Jaundoo IIi | Case Manager/Care Coordinator | 30 Meadowbank Ave, Boston, MA 02126-2726 | 2014-07-23 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.