Active NPI
Pamela J Ward, CNM
- Advanced Practice Midwife
- Pawtucket, RI
National Provider Identifier
1356326946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CMW00128
- Practice address
- 407 East Ave
Suite 150
Pawtucket, RI 02860-5299 - Phone
- (401) 727-4800
- Fax
- (401) 728-4437
- NPI assigned
- Dec 7, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | CMW00128 | RI | Primary |
Addresses
Primary practice location
407 East Ave
Suite 150
Pawtucket, RI 02860-5299
Mailing address
407 East Ave
Suite 150
Pawtucket, RI 02860-5299
Phone (401) 727-4800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0367991 | Medicaid | MA | |
| MW00128 | Other | RI | LICENSE |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CMW00128 | RI | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgewater Goddard Park Medical Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Brockton, MA
- NPI 1417932591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1356326946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 EAST AVE",
"address_2": "SUITE 150",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605299",
"telephone_number": "401-727-4800",
"fax_number": "401-728-4437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 EAST AVE",
"address_2": "SUITE 150",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605299",
"telephone_number": "401-727-4800",
"fax_number": "401-728-4437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "PAMELA",
"middle_name": "J",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-07",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "RI",
"license": "CMW00128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0367991",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MW00128",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.