Active NPI
Jamie David Woods
- Peer Specialist
- Gardner, MA
National Provider Identifier
1902443021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 208 Coleman St
Gardner, MA 01440-3767 - Phone
- (978) 632-4574
- Fax
- (888) 607-9327
- NPI assigned
- Dec 9, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
208 Coleman St
Gardner, MA 01440-3767
Mailing address
208 Coleman St
Gardner, MA 01440-3767
Phone (978) 632-4574
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaamha, Inc | Peer Specialist | Current | Accepting new patients |
Locations
208 Coleman St
Gardner, MA 01440
Phone (978) 632-0934
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1902443021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 COLEMAN ST",
"city": "GARDNER",
"state": "MA",
"postal_code": "014403767",
"telephone_number": "978-632-4574",
"fax_number": "888-607-9327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 COLEMAN ST",
"city": "GARDNER",
"state": "MA",
"postal_code": "014403767",
"telephone_number": "978-632-4574",
"fax_number": "888-607-9327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "JAMIE",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-09",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardner, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.