Individual provider Active NPI

Pamela Joyce Sanders-Carter, RN

  • School Registered Nurse
  • Portage, MI
National Provider Identifier
1134612955
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
4704205761 Issued in MI
Practice address
524 W Centre Ave
Portage, MI 49024-5306
Phone
(269) 324-1180
NPI assigned
Jun 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 4704205761 MI Primary

Addresses

Primary practice location

524 W Centre Ave
Portage, MI 49024-5306

Mailing address

3381 N 26TH St
Kalamazoo, MI 49048-9259
Phone (269) 599-0583

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704205761MIMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1134612955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3381 N 26TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490489259",
            "telephone_number": "269-599-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245306",
            "telephone_number": "269-324-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS-CARTER",
        "first_name": "PAMELA",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MI",
            "license": "4704205761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.