JUDITH MARIE PENTEDEMOS NP NPI 1245371806

NPI Information

  • NPI: 1245371806
  • Provider Name: JUDITH MARIE PENTEDEMOS, NP
  • Classification: Registered Nurse - 163WD0400X
  • Specialization: Diabetes Educator
  • Entity Type: Individual
  • Address: 200 GROTON RD
    AYER, MA
    ZIP 01432
  • Phone: (978) 784-9538

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NPI Details

Judith Marie Pentedemos, NP is a diabetes educator registered nurse in Ayer, MA. Judith Marie Pentedemos, NP NPI is 1245371806. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 GROTON RD
AYER, MA
ZIP 01432-168
Phone: (978) 784-9538
Fax: (978) 784-9453

The enumeration date for this NPI number is 2/8/2007 and was last updated on 2/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WD0400XRegistered NurseDiabetes Educator201948MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P86891MEDICARE UPIN
2201948OTHERMASSACHUSETTSSTATE LICENSE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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