Active NPI
Pamela Jane Mason, COTA/L
- Skilled Nursing Facility
- Pahrump, NV
National Provider Identifier
1083978670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 09-1012
- Practice address
- 6781 Southgate St
Pahrump, NV 89061-7221 - Phone
- (775) 727-3853
- NPI assigned
- Jun 27, 2012
- 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 |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 09-1012 | NV | Primary |
Addresses
Primary practice location
6781 Southgate St
Pahrump, NV 89061-7221
Mailing address
6781 Southgate St
Pahrump, NV 89061-7221
Phone (775) 727-3853
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 |
|---|---|---|---|
| 09-1012 | NV | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1083978670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6781 SOUTHGATE ST",
"city": "PAHRUMP",
"state": "NV",
"postal_code": "890617221",
"telephone_number": "775-727-3853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6781 SOUTHGATE ST",
"city": "PAHRUMP",
"state": "NV",
"postal_code": "890617221",
"telephone_number": "775-727-3853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "PAMELA",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-27",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NV",
"license": "09-1012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pahrump, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.