Active NPI
Pamela Thogmartin
- Peer Specialist
- Eagle Point, OR
National Provider Identifier
1124537824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 371 Patricia LN
Eagle Point, OR 97524-6619 - Phone
- (619) 961-6554
- NPI assigned
- Sep 25, 2017
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | OR | ||
| Peer Specialist | 175T00000X | OR | Primary |
Addresses
Primary practice location
371 Patricia LN
Eagle Point, OR 97524-6619
Mailing address
371 Patricia LN
Eagle Point, OR 97524-6619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175T00000X | Medicaid | OR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554422400000",
"number": "1124537824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "371 PATRICIA LN",
"city": "EAGLE POINT",
"state": "OR",
"postal_code": "975246619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 PATRICIA LN",
"city": "EAGLE POINT",
"state": "OR",
"postal_code": "975246619",
"telephone_number": "619-961-6554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOGMARTIN",
"first_name": "PAMELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-25",
"last_updated": "2019-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "175T00000X",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eagle Point, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.