Active NPI
Pamela Pitt Jones, FNP C
- Family Nurse Practitioner
- Alfred Station, NY
National Provider Identifier
1033193651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F332476-1
- Practice address
- 578 State Route 244
Alfred Station, NY 14803 - Phone
- (607) 587-9389
- Fax
- (607) 587-9389
- NPI assigned
- Dec 6, 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 | F332476-1 | NY | Primary |
Addresses
Primary practice location
578 State Route 244
Alfred Station, NY 14803
Mailing address
578 State Route 244
Alfred Station, NY 14803
Phone (607) 587-9389
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02603450 | Medicaid | NY | |
| 500018692 | Other | NY | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 332476 | NY | MD | Hospitalist Physician |
| F332476-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Orchard Community Health Center Inc | 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.
-
- Federally Qualified Health Center (FQHC)
- Albion, NY
- NPI 1407453244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1033193651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "578 STATE ROUTE 244",
"city": "ALFRED STATION",
"state": "NY",
"postal_code": "14803",
"telephone_number": "607-587-9389",
"fax_number": "607-587-9389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "578 STATE ROUTE 244",
"city": "ALFRED STATION",
"state": "NY",
"postal_code": "14803",
"telephone_number": "607-587-9389",
"fax_number": "607-587-9389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "PAMELA",
"middle_name": "PITT",
"name_prefix": "Mrs.",
"credential": "FNP C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F332476-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02603450",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "500018692",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alfred Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.