Pamela D'Addezio, LPN
Individual provider Active NPI Home Health Aide · Walton, NY
NPI 1275922395 · NPPES record last updated Jan 13, 2015
Key facts
- NPI
- 1275922395
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- 218956-1 (NY)
- Practice address
- 41 Maple St
Walton, NY 13856-1439 - Phone
- (607) 865-9171
- NPI assigned
- Jan 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218956-1 | NY | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 218956-1 | NY | Yes |
Addresses
Primary practice location
41 Maple St
Walton, NY 13856-1439
Mailing address
PO Box 301
Walton, NY 13856-0301
Phone (607) 865-9171
Other providers in Walton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.