Active NPI
Nicole Pagano
- School Psychologist
- Roanoke, VA
National Provider Identifier
1043829856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 0813001033
- Practice address
- 5937 Cove Rd
Roanoke, VA 24019-2403 - Phone
- (540) 561-3900
- NPI assigned
- Jul 28, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 0813001033 | VA | Primary |
Addresses
Primary practice location
5937 Cove Rd
Roanoke, VA 24019-2403
Mailing address
5937 Cove Rd
Roanoke, VA 24019-2403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0813001033 | Other | VA | VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0813001033 | VA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1043829856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5937 COVE RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240192403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5937 COVE RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240192403",
"telephone_number": "540-561-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGANO",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-28",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "VA",
"license": "0813001033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS",
"identifier": "0813001033",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.