Active NPI
Pamela Faye Roundtree
- Case Manager/Care Coordinator
- Toledo, OH
National Provider Identifier
1104565431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1167 Lincoln Ave
Toledo, OH 43607-1924 - Phone
- (141) 973-6420
- NPI assigned
- Jun 3, 2022
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OH | Primary | |
| Health Service Psychologist | 103TH0100X |
Addresses
Primary practice location
1167 Lincoln Ave
Toledo, OH 43607-1924
Mailing address
1167 Lincoln Ave
Toledo, OH 43607-1924
Phone (419) 973-6420
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pamela | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Child Physical Disabilities Respite Care
- Toledo, OH
- NPI 1790192961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1104565431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1167 LINCOLN AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436071924",
"telephone_number": "419-973-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1167 LINCOLN AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436071924",
"telephone_number": "141-973-6420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUNDTREE",
"first_name": "PAMELA",
"middle_name": "FAYE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-03",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.