Patricia S Bak, RN, CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

RN145129 Issued in MA

Practice address

128 Main St
Suite 2
Sturbridge, MA 01566-1556

Phone

(508) 347-7585

Fax

(508) 347-7538

NPI assigned

Mar 27, 2007

Last updated

Jul 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harrington Physician Services Inc

  • Family Medicine Physician
  • Southbridge, MA
  • NPI 1346420874
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1225156995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015500040",
            "telephone_number": "508-909-7799",
            "fax_number": "508-764-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MAIN ST",
            "address_2": "SUITE 2",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661556",
            "telephone_number": "508-347-7585",
            "fax_number": "508-347-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAK",
        "first_name": "PATRICIA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "RN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CT",
            "license": "R38709",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MA",
            "license": "RN145129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela T Arbour, RPT
• Paul B Armstrong, B.A
• Robert Henry Audet, D.M.D.
• Adrienne Gail Bachand, PT
• Kacey-Lyn Bachant
• Lisa Bardo-Barnes
• Elizabeth Prokos Berry, OD
• Rebecca Anne Bianchi, LMHC
• Anne Bisson Ingersoll
• Karen Ann Blakely, RPH

• Diabetes Educator Registered Nurse in Sturbridge, MA
• Providers in Sturbridge, MA by specialty
• Diabetes Educator Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.