Active NPI
Pamela Wood, PTA
- Health Information Specialist/Technologist
- Billerica, MA
National Provider Identifier
1700092012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Information Specialist/Technologist
- License
- 3556
- Practice address
- 5 Shawnee Cir
Billerica, MA 01821-3061 - Phone
- (978) 663-7323
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Information Specialist/Technologist | 246Y00000X | 3556 | MA | Primary |
Addresses
Primary practice location
5 Shawnee Cir
Billerica, MA 01821-3061
Mailing address
5 Shawnee Circle
Billerica, MA 01821
Phone (978) 663-7323
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3556 | MA | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700092012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SHAWNEE CIRCLE",
"city": "BILLERICA",
"state": "MA",
"postal_code": "01821",
"telephone_number": "978-663-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 SHAWNEE CIR",
"city": "BILLERICA",
"state": "MA",
"postal_code": "018213061",
"telephone_number": "978-663-7323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "PAMELA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246Y00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Health Information",
"state": "MA",
"license": "3556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Billerica, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.