Active NPI
Patricia Gail Salcedo Tabbilos, FNP-C
- Family Nurse Practitioner
- Woburn, MA
National Provider Identifier
1972313203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.1000359-NP
- Practice address
- 500 W Cummings Park Ste 2700
Woburn, MA 01801-6513 - Phone
- (781) 396-6900
- NPI assigned
- Jan 9, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.1000359-NP | CO | Primary |
Addresses
Primary practice location
500 W Cummings Park Ste 2700
Woburn, MA 01801-6513
Mailing address
3904 Lonas Dr
Knoxville, TN 37909-3323
Phone (720) 590-9964
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 |
|---|---|---|---|
| APN.1000359-NP | CO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1972313203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3904 LONAS DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379093323",
"telephone_number": "720-590-9964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W CUMMINGS PARK STE 2700",
"city": "WOBURN",
"state": "MA",
"postal_code": "018016513",
"telephone_number": "781-396-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABBILOS",
"first_name": "PATRICIA GAIL",
"middle_name": "SALCEDO",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.1000359-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.