Active NPI
Wendy Skelton, P.A.
- Physician Assistant
- Boston, MA
National Provider Identifier
1962561860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10005013
- Practice address
- 30 Northampton Street
Boston, MA 02118-4010 - Phone
- (617) 433-9601
- Fax
- (617) 445-6538
- NPI assigned
- Dec 6, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10005013 | WA | Primary |
Addresses
Primary practice location
30 Northampton Street
Boston, MA 02118-4010
Mailing address
30 Northampton Street
Boston, MA 02118-4010
Phone (617) 433-9601
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10005013 | WA | MD | Physician Assistant |
Interoperability endpoints
- wendy.skelton@ccalliance.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1962561860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 NORTHAMPTON STREET",
"city": "BOSTON",
"state": "MA",
"postal_code": "021184010",
"telephone_number": "617-433-9601",
"fax_number": "617-445-6538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 NORTHAMPTON STREET",
"city": "BOSTON",
"state": "MA",
"postal_code": "021184010",
"telephone_number": "617-433-9601",
"fax_number": "617-445-6538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKELTON",
"first_name": "WENDY",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10005013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.