Pamela Jane Igelsrud, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

77952 Issued in MA

Practice address

172 Lawrence St
Lawrence, MA 01841-3849

Phone

(978) 685-6321

NPI assigned

Jul 27, 2018

Last updated

May 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: pam.igelsrud.p1@direct.fallonhealth.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619913600000",
    "number": "1083191480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 MERRIMACK ST UNIT 5E",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 LAWRENCE ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018413849",
            "telephone_number": "978-685-6321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Glenridge Dr",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043306606",
            "country_code": "US",
            "telephone_number": "207-626-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGELSRUD",
        "first_name": "PAMELA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "ST2851",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "77952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinh K Huynh, RPH
• Ann Hwang, M.D.
• Gael Hyppolite
• Michael Ierardi, DO
• Ashley Marie Igartua
• Hira Ilyas, PHARMD.
• Runairy Infante
• Venecia E Infante
• Institute for Family Centered Services, Inc.
• Integrated Center for Group Medical Visits

• Speech-Language Pathologist in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.