Pamela Ann Goatley, DEVELOPMENTAL INTERV

Primary specialty

SpecialistTaxonomy code 174400000X

License

F19527M Issued in KY

Practice address

4989 State Route 440
Hickory, KY 42051-9222

Phone

(270) 674-5529

Fax

(270) 623-6393

NPI assigned

May 22, 2008

Last updated

May 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1164689485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4989 STATE ROUTE 440",
            "city": "HICKORY",
            "state": "KY",
            "postal_code": "420519222",
            "telephone_number": "270-674-5529",
            "fax_number": "270-623-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4989 STATE ROUTE 440",
            "city": "HICKORY",
            "state": "KY",
            "postal_code": "420519222",
            "telephone_number": "270-674-5529",
            "fax_number": "270-623-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOATLEY",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "DEVELOPMENTAL INTERV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "F19527M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Elliott, RPH, CDE
• Jax Home Medical
• Debbi Lee Little, LCSW
• Rachel Ann Rollins, M.S. CCC-SLP
• Lisa Robin Sanford, ED.S; LPCC; CATP;CCT
• Dori Ellen Sturgill, LMT

• Specialist in Hickory, KY
• Providers in Hickory, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.