Active NPIIndividual providerSole proprietor

Damaris W Kongo, REGISTERED NURSE

Registered Nurse, Community Health in Ludlow, Massachusetts

NPI Number1376114009
Practice location
39 Allison Ln, Ludlow, MA 01056-9201
Fax
—
Last updated
January 27, 2024

Damaris W Kongo is a Registered Nurse, Community Health based in Ludlow, MA. Damaris W Kongo practices in Ludlow, MA and has the professional credentials of REGISTERED NURSE. The NPI Number for Damaris W Kongo is 1376114009 and holds a License No. RN270089 (MA). The current practice location address for Damaris W Kongo is 39 Allison Ln, Ludlow, MA 01056-9201 and can be reached out via phone at 413-530-7318.

Provider Profile Details

NPI Number
1376114009
Provider Name
Damaris W Kongo
Credential
REGISTERED NURSE
Provider Entity Type
Individual
Gender
Female
Address
39 Allison Ln, Ludlow, MA 01056-9201
Phone Number
413-530-7318
Primary Taxonomy
Registered Nurse, Community Health · 163WC1500X
Sole Proprietor
Yes
Other Names
Damaris W Kongo, NURSE PRACTITIONER (Professional Name)
Provider Enumeration Date
July 3, 2021
Last Update Date
January 27, 2024
Certification Date
January 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
39 Allison Ln
Ludlow, MA 01056-9201
City
Ludlow
Zip
01056-9201
Phone Number
413-530-7318
Ludlow, MA 01056Get directions →

Provider Business Mailing Address Details

Address
39 Allison Ln
Ludlow, MA 01056-9201
City
Ludlow
State
MA
Zip
01056-9201
Phone Number
413-530-7318

License Information

License Number (1)
RN270089
License State (1)
MA
Taxonomy (1)
Registered Nurse, Community Health · 163WC1500X · Primary
License Number (2)
RN270089
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Damaris W Kongo, REGISTERED NURSE?

The NPI number of Damaris W Kongo, REGISTERED NURSE is 1376114009. It was assigned on July 3, 2021 and is currently active in the NPPES registry.

What is the specialty of Damaris W Kongo, REGISTERED NURSE?

Damaris W Kongo, REGISTERED NURSE is registered under the primary taxonomy Registered Nurse, Community Health (code 163WC1500X), licensed in MA under license number RN270089.

Where does Damaris W Kongo, REGISTERED NURSE practice?

The practice location is 39 Allison Ln, Ludlow, MA 01056-9201. The office can be reached at 413-530-7318 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376114009 directly on the NPPES registry website.

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