Provider Demographics
NPI:1710948286
Name:SOMMERS, PAULA D (NP)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:D
Last Name:SOMMERS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 NEPONSET ST FL 12
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2714
Mailing Address - Country:US
Mailing Address - Phone:508-671-4050
Mailing Address - Fax:508-453-8050
Practice Address - Street 1:344 THOMPSON RD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:MA
Practice Address - Zip Code:01570-1509
Practice Address - Country:US
Practice Address - Phone:508-671-4050
Practice Address - Fax:508-453-8050
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA156105363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
51612OtherFALLON COMMUNITY HEALTH P
AA3674OtherHARVARD PILGRIM HEALTHCAR
NP0953OtherBLUE CARE ELECT
042472266OtherTHREE RIVERS
NP0953OtherBLUE SHIELD HMO BLUE
MA700550Medicaid
700550OtherMEDICAID WELFARE
042472266OtherPRIVATE HEALTHCARE SYSTEM
4142218OtherMVP HEALTH CARE
NP0953OtherBLUE SHIELD INDEMNITY
NP0953OtherMEDICARE B
MANP0953Medicare ID - Type Unspecified
MA700550Medicaid