JUDITH MARIE PENTEDEMOS (NPI# 1245371806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245371806 |
| Entity Type | Individual |
| Full Name | JUDITH MARIE PENTEDEMOS |
| Credential | NP |
| Practice Address |
200 Groton Rd Ayer MA 01432-1168 |
| Practice Telephone | 9787849538 |
| Practice Fax Number | 9787849453 |
| Mailing Telephone | 9787849000 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2009-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
201948 | MA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | STATE LICENSE # | 201948 | 01 |
| Street Address |
200 GROTON RD |
| City | AYER |
| State | MA |
| Zip Code | 01432-1168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427431 | Essent Healthcare - Ayer, Inc. | General Acute Care Hospital | 200 Groton Rd, Ayer, MA 01432-1168 | 2005-06-14 |
| 1356940019 | Jennifer Mansir | 200 Groton Rd, Ayer, MA 01432-1168 | 2020-10-22 | |
| 1154955904 | Timothy Michael Patno | Registered Nurse | 200 Groton Rd, Ayer, MA 01432-1168 | 2020-03-02 |
| 1356981310 | Caitlin Silva | Dietitian, Registered | 200 Groton Rd, Ayer, MA 01432-1168 | 2020-01-08 |
| 1629586565 | Nashoba Valley Medical Center, A Steward Family Hospital, Inc | Psychiatry & Neurology | 200 Groton Rd, Ayer, MA 01432-1168 | 2018-01-12 |
| 1801299730 | Carol Ann Orton | Nurse Practitioner | 200 Groton Rd, Occupational Health Center, Ayer, MA 01432-1168 | 2014-10-06 |
| 1942601752 | Jennifer Stanton | Nurse Practitioner | 200 Groton Rd, Ayer, MA 01432-1168 | 2014-09-11 |
| 1306262183 | Sara Schwarz | Dietary Manager | 200 Groton Rd, Ayer, MA 01432-1168 | 2014-03-17 |
| 1700216850 | Nashoba Valley Medical Center, A Steward Family Hospital, Inc. | Psychiatric Unit | 200 Groton Rd, Ayer, MA 01432-1168 | 2013-11-26 |
| 1215376405 | Marie G Bennett | Nurse Practitioner | 200 Groton Rd, Ayer, MA 01432-1168 | 2013-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467605378 | Linda Thompson Ward | Counselor | 11 Depot Square, Advocates, Ayer, MA 01432 | 2008-10-23 |
| 1841339637 | Robert O Voight | Preventive Medicine | 200 Gratar Road, Ayer, MA 01432 | 2007-02-06 |
| 1548319957 | Sally Floyd | Counselor | 34 Main Street, Ayer, MA 01432 | 2007-01-09 |
| 1598794505 | Theresa Piotrowski | Family Medicine | 190 Groton Rd Ste 200, Ayer, MA 01432 | 2006-07-02 |
| 1629016928 | Karl A Bernhard | Family Medicine | 42 Patton Rd., Devens Fed. Med. Center, Devens, MA 01432 | 2006-06-02 |
| 1134177546 | Kenneth A Janes | Surgery | 190 Groton Road, Suite 210, Ayer, MA 01432 | 2006-05-05 |
| 1619943222 | Charles D Howard | Ophthalmology | 42 Patton Road, Federal Medical Center Devens, Ayer, MA 01432 | 2006-02-23 |
| 1952391849 | Amjad Husain | Internal Medicine | 200 Groton Road, Ayer, MA 01432 | 2005-10-24 |
| 1578552964 | Central Ma Cardiovascular Physicians Inc | Internal Medicine | 198 Groton Road, Ste 4, Ayer, MA 01432 | 2005-10-18 |
| 1467441857 | Adam W Cerel | Internal Medicine | 198 Groton Rd, Ste 4, Central Ma Cardiovascular Physicians, Inc, Ayer, MA 01432 | 2005-10-18 |
| Find all providers in zip 01432 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194203794 | Brittany Eramo | Registered Nurse | 9 Loon Hill Road, Suite 301, Dracut, MA 01826 | 2018-08-06 |
| 1831437532 | Melissa L Bird | Registered Nurse | 25 Communication Way, Hyannis, MA 02601-8137 | 2013-01-30 |
| 1669612883 | Kassandra Lafoe Harwood | Registered Nurse | 439 S Union Street, #403, Lawrence, MA 01843 | 2009-02-27 |
| 1215109723 | Linda Susan Vitti | Registered Nurse | 2 Surrey Way, Franklin, MA 02038-4100 | 2008-03-25 |
| 1689877847 | Alice Margaret Dicenzo | Registered Nurse | 5 Bradford Rd, Woburn, MA 01801-5247 | 2007-06-06 |
| 1205966173 | Twyla Jean Higgins | Registered Nurse | 2005 Bay Sreet, Suite 204b, Taunton, MA 02780 | 2007-03-07 |
| 1689710667 | Norma Mello | Registered Nurse | Northwoods Medical Center, 2005 Bay Street, Suite 204b, Taunton, MA 02780 | 2007-01-29 |
| 1093868507 | Stephanie Athanasoulas Mourtzinos | Registered Nurse | Lchc, 17 Warren Street, 2nd Floor, Lowell, MA 01852 | 2007-01-19 |
| 1629556238 | Karen Gallagher | Registered Nurse | 9 Loon Hill Road, Dracut, MA 01826 | 2018-08-06 |
| 1952888489 | Candace Mary Lusa | Registered Nurse | 725 North St, Pittsfield, MA 01201-4124 | 2018-07-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.