Active NPI
Pamela Ann Pierce, APRN NP-C
- Adult Health Nurse Practitioner
- Liberty, MO
National Provider Identifier
1043595796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2011032581
- Practice address
- 1539 Dartmouth Dr
Liberty, MO 64068-3347 - Phone
- (816) 405-3202
- NPI assigned
- Oct 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2011032581 | MO | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | CNP-02537 | NM |
Addresses
Primary practice location
1539 Dartmouth Dr
Liberty, MO 64068-3347
Mailing address
1539 Dartmouth Dr
Liberty, MO 64068
Phone (816) 405-3202
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 |
|---|---|---|---|
| 2011032581 | MO | MD | Adult Health Nurse Practitioner |
| CNP-02537 | NM | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1043595796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1539 DARTMOUTH DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "64068",
"telephone_number": "816-405-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1539 DARTMOUTH DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640683347",
"telephone_number": "816-405-3202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "PAMELA",
"middle_name": "ANN",
"credential": "APRN NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-13",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "2011032581",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NM",
"license": "CNP-02537",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.