Active NPI
Pamela R Dugan, ARNP
- Family Nurse Practitioner
- Louisville, KY
National Provider Identifier
1124067608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1052299
- Practice address
- 6400 Dutchmans Pkwy
Suite 250
Louisville, KY 40205-3340 - Phone
- (502) 587-9660
- Fax
- (502) 540-5615
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1052299 | KY | Primary |
| Nurse Practitioner | 363L00000X | 28140377A | IN |
Addresses
Primary practice location
6400 Dutchmans Pkwy
Suite 250
Louisville, KY 40205-3340
Mailing address
6400 Dutchmans Pkwy
Suite 250
Louisville, KY 40205-3340
Phone (502) 587-9660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193400000X | Other | KY | GROUP TAXONOMY |
| 78228608 | Medicaid | KY |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28140377A | IN | MD | Nurse Practitioner |
| 1052299 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PSF PLLC | Nurse Practitioner | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1124067608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 DUTCHMANS PKWY",
"address_2": "SUITE 250",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053340",
"telephone_number": "502-587-9660",
"fax_number": "502-540-5615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 DUTCHMANS PKWY",
"address_2": "SUITE 250",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053340",
"telephone_number": "502-587-9660",
"fax_number": "502-540-5615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGAN",
"first_name": "PAMELA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "1052299",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "28140377A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TAXONOMY",
"identifier": "193400000X",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78228608",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.