Individual provider Active NPI

Paula Anne Wood, HAIR DRESSER/COSMETI

  • Durable Medical Equipment & Medical Supplies
  • Orange, CT
National Provider Identifier
1578908174
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
038613 Issued in CT
Practice address
501 Boston Post Rd
12
Orange, CT 06477-3567
Phone
(203) 799-8510
Fax
(203) 799-8510
NPI assigned
May 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 038613 CT Primary

Addresses

Primary practice location

501 Boston Post Rd
12
Orange, CT 06477-3567

Mailing address

501 Boston Post Rd
12
Orange, CT 06477-3567
Phone (203) 799-8510

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1578908174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BOSTON POST RD",
            "address_2": "12",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773567",
            "telephone_number": "203-799-8510",
            "fax_number": "203-799-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BOSTON POST RD",
            "address_2": "12",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773567",
            "telephone_number": "203-799-8510",
            "fax_number": "203-799-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "PAULA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "HAIR DRESSER/COSMETI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "038613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.