Pamela M Vath, NP APRN BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN116482 Issued in MA

Practice address

21 Main St
Ste 2C Rheumatology & Internal Medicine Associates PC
N Reading, MA 01864

Phone

(978) 664-1606

Fax

(978) 664-5316

NPI assigned

Aug 16, 2006

Last updated

Jul 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rheumatology and Internal Medicine Associates, PC

  • Rheumatology Physician
  • Wilmington, MA
  • NPI 1386754588
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1447363395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DUANE DR",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "01864",
            "telephone_number": "978-276-0080",
            "fax_number": "978-276-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAIN ST",
            "address_2": "STE 2C RHEUMATOLOGY & INTERNAL MEDICINE ASSOCIATES PC",
            "city": "N READING",
            "state": "MA",
            "postal_code": "01864",
            "telephone_number": "978-664-1606",
            "fax_number": "978-664-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATH",
        "first_name": "PAMELA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NP APRN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN116482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0341631",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "NP1054",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Class, Inc.

• Family Nurse Practitioner in N Reading, MA
• Providers in N Reading, 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 Jul 28, 2020; 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.