NPIMap

Organization Active NPI

Passport Health

  • Community Health Worker
  • Woburn, MA
National Provider Identifier
1154594067
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
244342 Issued in MA
Legal business name
PASSPORT HEALTH
Practice address
600 W Cummings Park Ste 1300
Woburn, MA 01801-6376
Phone
(617) 418-3675
Fax
(781) 939-5755
NPI assigned
Apr 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julie M Barker, RN
Title
Manager
Phone
(617) 418-3675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X 244342 MA Primary

Addresses

Primary practice location

600 W Cummings Park Ste 1300
Woburn, MA 01801-6376

Mailing address

600 W Cummings Park Ste 1300
Woburn, MA 01801-6376
Phone (617) 418-3675

National Provider Directory

National Provider Directory

Locations

600 W Cummings Park
Ste 1300
Woburn, MA 01801
Phone (617) 418-3675

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1154594067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W CUMMINGS PARK STE 1300",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016376",
            "telephone_number": "617-418-3675",
            "fax_number": "781-939-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W CUMMINGS PARK STE 1300",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016376",
            "telephone_number": "617-418-3675",
            "fax_number": "781-939-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSPORT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-418-3675",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "MA",
            "license": "244342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.