Pamela Lynn Willette, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

RN68537 Issued in ME

Practice address

23 High St
Fort Fairfield, ME 04742-1021

Phone

(207) 764-8529

Fax

(207) 472-3609

NPI assigned

Jul 6, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1720574338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HIGH ST",
            "city": "FORT FAIRFIELD",
            "state": "ME",
            "postal_code": "047421021",
            "telephone_number": "207-764-8529",
            "fax_number": "207-472-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 HIGH ST",
            "city": "FORT FAIRFIELD",
            "state": "ME",
            "postal_code": "047421021",
            "telephone_number": "207-764-8529",
            "fax_number": "207-472-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETTE",
        "first_name": "PAMELA",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "ME",
            "license": "RN68537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Town of Fort Fairfield (Fort Fairfield Fire Rescue)
• Walgreen Co (Walgreens #19019)
• White Smiles Family Dentistry
• Joseph White, D.M.D.
• Al Whitten, MHRT-C
• Christie Lynn Wolf

• Diabetes Educator Registered Nurse in Fort Fairfield, ME
• Providers in Fort Fairfield, ME by specialty
• Diabetes Educator Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.