Active NPI
Pamela D Bermudez, RD,LDN,CDE
- Registered Dietitian
- Dartmouth, MA
National Provider Identifier
1144243395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- NU 1386
- Practice address
- 3 Leeward LN
Dartmouth, MA 02748-3726 - Phone
- (774) 526-1586
- Fax
- (508) 996-4783
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU 1386 | MA | Primary |
Addresses
Primary practice location
3 Leeward LN
Dartmouth, MA 02748-3726
Mailing address
3 Leeward LN
Dartmouth, MA 02748-3726
Phone (774) 526-1586
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00412700 | Other | RI | HMO BCBS OF RI |
| NU 1386 | Other | MA | STATE LICENSE |
| 655598 | Other | REGISTER DIETITIAN | |
| AA27307 | Other | HPHC | |
| 468058 | Other | TUFTS HEALTH PLAN | |
| 11463774 | Other | CAQH PROVIDER ID | |
| 29678-2 | Other | RI | BCBS OF RI |
| LD0164 | Other | BCBS MA | |
| 1816971 | Other | CIGNA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NU 1386 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1144243395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 LEEWARD LN",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027483726",
"telephone_number": "774-526-1586",
"fax_number": "508-996-4783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 LEEWARD LN",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027483726",
"telephone_number": "774-526-1586",
"fax_number": "508-996-4783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMUDEZ",
"first_name": "PAMELA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "RD,LDN,CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "NU 1386",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BCBS OF RI",
"identifier": "00412700",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "NU 1386",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTER DIETITIAN",
"identifier": "655598",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "AA27307",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "468058",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER ID",
"identifier": "11463774",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF RI",
"identifier": "29678-2",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "LD0164",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1816971",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.