Active NPI
Nancy M Paquette, OTR
- Nursing Facility/Intermediate Care Facility
- Springfield, MA
National Provider Identifier
1245447762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 3249
- Practice address
- 136 William St
Springfield, MA 01105-2324 - Phone
- (413) 788-2171
- NPI assigned
- May 16, 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 |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 3249 | MA | Primary |
Addresses
Primary practice location
136 William St
Springfield, MA 01105-2324
Mailing address
33 Montgomery Ave
Holyoke, MA 01040-1313
Phone (413) 538-5152
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3249 | MA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1245447762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 MONTGOMERY AVE",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010401313",
"telephone_number": "413-538-5152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 WILLIAM ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011052324",
"telephone_number": "413-788-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAQUETTE",
"first_name": "NANCY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "MA",
"license": "3249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.