Individual provider Active NPI

Felice Ptricia Meadow, D.O.

  • Family Medicine Physician
  • Waltham, MA
National Provider Identifier
1457326993
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
80322 Issued in MA
Practice address
564 Main St
Waltham, MA 02452-5516
Phone
(781) 693-3800
Fax
(781) 693-3817
NPI assigned
Feb 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 80322 MA Primary

Addresses

Primary practice location

564 Main St
Waltham, MA 02452-5516

Mailing address

564 Main St
Waltham, MA 02452-5516
Phone (781) 693-3800

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
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1457326993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024525516",
            "telephone_number": "781-693-3800",
            "fax_number": "781-693-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024525516",
            "telephone_number": "781-693-3800",
            "fax_number": "781-693-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOW",
        "first_name": "FELICE",
        "middle_name": "PTRICIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "80322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.