Wendy W Drastal, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN171062 Issued in MA

Practice address

1900 Main St
Tewksbury, MA 01876

Phone

(978) 851-6856

NPI assigned

Aug 24, 2011

Last updated

Aug 9, 2018By 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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1396025169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PHEASANT RUN",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104271",
            "telephone_number": "978-509-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "01876",
            "telephone_number": "978-851-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRASTAL",
        "first_name": "WENDY",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN171062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold Rafael Dominguez-Franco, RECOVERY SPECIALIST
• Natacha Dorastin, LPN
• Elizabeth Susan Dougherty, NP
• Jordan B Downing, PH.D.
• Nicole Doyle-Tedford, MS, OTR/L
• Christopher Drew-Hamel
• Cassandra Lynn Duarte
• Lindsay Lee Ducharme, RD
• John Duggan
• Amie Dunbar-Marquis, RNP

• Family Nurse Practitioner in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.