Audrey J Webb

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

RN2341677 Issued in MA

Practice address

404 Huttleston Ave
Fairhaven, MA 02719-5630

Phone

(508) 966-9333

NPI assigned

Oct 9, 2021

Sex

Female

Sole proprietor

No

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

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: awebb37225@direct.chppoc.masshiway.net

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.

• Marion Pediatrics, P.C.

  • Pediatrics Physician
  • Fairhaven, MA
  • NPI 1043427230
  NPD (past)

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

{
    "created_epoch": "1633737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1386306157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 HUTTLESTON AVE",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195630",
            "telephone_number": "508-966-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 HUTTLESTON AVE",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195630",
            "telephone_number": "508-966-9333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "995 Hopmeadow St",
            "address_purpose": "LOCATION",
            "city": "Simsbury",
            "state": "CT",
            "postal_code": "060701812",
            "country_code": "US",
            "telephone_number": "860-408-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "AUDREY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-09",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "12.010101",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "RN2341677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Walgreen Co
• Walgreen Co
• Anna A Ward, M.D.
• Susan Wareing, NP
• Benjamin Louis Weinstein
• Lisa Christine Wheaton
• Pamela Elizabeth Whynot, BA
• Adam Joseph Wilczek, R.PH
• Michelle V Wong, D.O.

• Pediatrics Physician in Fairhaven, MA
• Providers in Fairhaven, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.