Active NPI
Pamela R Webb, FNP- BC
- Family Nurse Practitioner
- Tappahannock, VA
National Provider Identifier
1013911684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024166291
- Practice address
- 1362 Tappahannock Blvd
Tappahannock, VA 22560-9309 - Phone
- (804) 443-5378
- Fax
- (804) 443-9667
- NPI assigned
- Jun 10, 2005
- 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 | 0024166291 | VA | Primary |
Addresses
Primary practice location
1362 Tappahannock Blvd
Tappahannock, VA 22560-9309
Mailing address
1362 Tappahannock Blvd
Tappahannock, VA 22560-9309
Phone (804) 443-5378
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C06695 | Other | VA | GROUP PTAN |
| C06115 | Other | GROUP PTAN |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024166291 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Practitioner Support Services LLP | Family | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1013911684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1362 TAPPAHANNOCK BLVD",
"city": "TAPPAHANNOCK",
"state": "VA",
"postal_code": "225609309",
"telephone_number": "804-443-5378",
"fax_number": "804-443-9667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1362 TAPPAHANNOCK BLVD",
"city": "TAPPAHANNOCK",
"state": "VA",
"postal_code": "225609309",
"telephone_number": "804-443-5378",
"fax_number": "804-443-9667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "PAMELA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "FNP- BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-10",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024166291",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C06695",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C06115",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tappahannock, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.