NNEMDI AZUBUKO (NPI# 1689295750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689295750 |
| Entity Type | Individual |
| Full Name | NNEMDI AZUBUKO |
| Credential | CNP |
| Practice Address |
637 Washington St Dorchester MA 02124-3510 |
| Mailing Address |
200 Quarry Hills Dr # 1532 Quincy MA 02169-6477 |
| Practice Telephone | 6178259660 |
| Mailing Telephone | 8579391987 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN2336411 | MA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | RN2336411 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
637 WASHINGTON ST |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02124-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992791883 | Christine Farrell-riley | Family Medicine | 637 Washington St, Dorchester, MA 02124-3510 | 2005-09-26 |
| 1578180246 | Inje Ham | Student in an Organized Health Care Education/Training Program | 637 Washington St, Dorchester, MA 02124-3510 | 2020-06-29 |
| 1235766072 | Oluwatomi Oluwagbemisola Adeoti | Student in an Organized Health Care Education/Training Program | 637 Washington St, Dorchester, MA 02124-3510 | 2020-03-23 |
| 1205473162 | Boston Medical Center Corporation | Pharmacy | 637 Washington St, Dorchester, MA 02124-3510 | 2019-12-10 |
| 1295372563 | Boston Medical Center Corporation Dba Bmc Pharmacy At Codman Square | Pharmacy | 637 Washington St, Dorchester, MA 02124-3510 | 2019-12-05 |
| 1205494630 | Elizabeth Moran | Nurse Practitioner | 637 Washington St, Dorchester, MA 02124 | 2019-05-31 |
| 1467912949 | Meghna Srinath | Family Medicine | 637 Washington St, Dorchester, MA 02124-3510 | 2019-03-21 |
| 1073083168 | Denise Marie Croken | Nurse Practitioner | 637 Washington St, Dorchester, MA 02124-3510 | 2018-11-30 |
| 1376019380 | Venice Inez Rice-bell | Registered Nurse | 637 Washington St, Dorchester, MA 02124-3510 | 2018-10-17 |
| 1891207858 | Niurka De Jesus | Social Worker | 637 Washington St, Dorchester, MA 02124-3510 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
| 1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
| 1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
| 1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
| 1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
| 1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
| 1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| Find all providers in zip 02124 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750478004 | Ephlyn U Simms | Nurse Practitioner | 90 Cushing Avenue, Dorchester, MA 02125 | 2006-10-06 |
| 1972901551 | Rose Severe | Nurse Practitioner | 632 Blue Hill Ave, Dorchester, MA 02121-3213 | 2014-12-12 |
| 1942608674 | Emmanuel Bouloute | Nurse Practitioner | 637 Washington St, Dorchester, MA 02124-3510 | 2014-12-11 |
| 1457653123 | Ann Morgan | Nurse Practitioner | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2010-12-01 |
| 1528184835 | Sarah Lay | Nurse Practitioner | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2007-03-21 |
| 1164561643 | Christine Lens | Nurse Practitioner | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2007-02-05 |
| 1144382466 | Allison Oesterle | Nurse Practitioner | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2006-12-14 |
| 1558457770 | Joan A. Delaney | Nurse Practitioner | 637 Washington St, Dorchester, MA 02124-3510 | 2006-10-05 |
| 1619063674 | Megan E. Jordan | Nurse Practitioner | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2006-10-05 |
| 1780691204 | Donna Hanson | Nurse Practitioner | 100 William T Morrissey Blvd, Dorchester, MA 02125-3300 | 2006-08-01 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02124 |
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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.