Pamela Fay Halstead, TVI/COMS

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

000038777 Issued in KY

Practice address

1906 Goldsmith LN
Louisville, KY 40218-2066

Phone

(502) 498-2934

NPI assigned

Jan 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1114679768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 TOM TAYLOR RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018876",
            "telephone_number": "606-521-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 GOLDSMITH LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182066",
            "telephone_number": "502-498-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSTEAD",
        "first_name": "PAMELA",
        "middle_name": "FAY",
        "name_prefix": "Mrs.",
        "credential": "TVI/COMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "KY",
            "license": "000038777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charissa L Hallman, APRN
• Kelsey Lauren Hallman, PHARMD
• Colleen Halloran
• Jamie Halloran, OTR/L
• Katherine Schmitt Halloway, APRN, PMHNP
• Lori Halton, MD
• Amy Halvorson, LCSW
• Drosella Ham
• Abigail Hamad, OTR/L
• Christopher Hamann

• Developmental Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Developmental Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.