Active NPI
Pamela Jane Pruitt
- Speech-Language Pathologist
- Atlanta, TX
National Provider Identifier
1184045940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18899
- Practice address
- 570 Texas Highway 43
Atlanta, TX 75551-7252 - Phone
- (903) 824-0508
- NPI assigned
- Dec 20, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 18899 | TX | Primary |
Addresses
Primary practice location
570 Texas Highway 43
Atlanta, TX 75551-7252
Mailing address
570 Texas Highway 43
Atlanta, TX 75551-7252
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387497600000",
"number": "1184045940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 TEXAS HIGHWAY 43",
"city": "ATLANTA",
"state": "TX",
"postal_code": "755517252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 TEXAS HIGHWAY 43",
"city": "ATLANTA",
"state": "TX",
"postal_code": "755517252",
"telephone_number": "903-824-0508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "PAMELA",
"middle_name": "JANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-20",
"last_updated": "2013-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "18899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.