Pamela D'Addezio, LPN

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

218956-1 Issued in NY

Practice address

41 Maple St
Walton, NY 13856-1439

Phone

(607) 865-9171

NPI assigned

Jan 13, 2015

Last updated

Jan 13, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1275922395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138560301",
            "telephone_number": "607-865-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MAPLE ST",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138561439",
            "telephone_number": "607-865-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ADDEZIO",
        "first_name": "PAMELA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NY",
            "license": "218956-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Donnelly Cowles, SLP-CCC/L
• Erica Crook, LMSW
• Jordan Crook, LMSW
• CVS Albany, L.L.C. (CVS Pharmacy # 05019)
• Nicolette Czajak
• Tara Darling
• Kirill Davidov, MD
• Brittany Davis, CASAC
• Vadim Davydov, DO
• Valentina Davydov, DO

• Home Health Aide in Walton, NY
• Providers in Walton, NY by specialty
• Home Health Aide in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.