Pamela Ann Ourada, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

116771 Issued in WI

Practice address

2603 S 15TH St
Sheboygan, WI 53081-6230

Phone

(920) 627-4309

NPI assigned

Jun 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Pamela Bersch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561852800000",
    "number": "1104488154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 S 15TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530816230",
            "telephone_number": "920-627-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 S 15TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530816230",
            "telephone_number": "920-627-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OURADA",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-30",
        "last_updated": "2019-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "116771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "BERSCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natalie Ordonez
• Maria Orellana Riveiro, LPN
• Osl 505 Sheboygan Operating LLC
• Kayla M Ostermann, LPC
• Jameson Matthew Otte, DPT
• Jayapriya Palaniappan
• Melissa Palecek, PHARMD
• Stephanie Palm, M.S. CCC-SLP
• Ryan H Palma, PT
• Robert Pamenter

• Registered Nurse in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2019; 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.