Active NPI
Pamela Dean, RN
- Registered Nurse
- Moncks Corner, SC
National Provider Identifier
1013324482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 220102
- Practice address
- 109 W Main St
Moncks Corner, SC 29461-2673 - Phone
- (843) 719-4635
- NPI assigned
- Jul 17, 2014
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 220102 | SC | Primary |
Addresses
Primary practice location
109 W Main St
Moncks Corner, SC 29461-2673
Mailing address
109 W Main St
Moncks Corner, SC 29461-2673
Phone (843) 719-4635
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220102 | SC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1013324482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W MAIN ST",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294612673",
"telephone_number": "843-719-4635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W MAIN ST",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294612673",
"telephone_number": "843-719-4635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "PAMELA",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-17",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "220102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.