Pamela Sue Fassbinder, RN

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

041-389191 Issued in IL

Practice address

939 Galena Square Drive
Galena, IL 61036

Phone

(815) 777-1300

Fax

(815) 777-1308

NPI assigned

Aug 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1194371104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 GALENA SQUARE DRIVE",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "61036",
            "telephone_number": "815-777-1300",
            "fax_number": "815-777-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 GALENA SQUARE DRIVE",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "61036",
            "telephone_number": "815-777-1300",
            "fax_number": "815-777-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASSBINDER",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "IA",
            "license": "080831",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041-389191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Durrant, PHARMD, RPH
• Rachel Maria Einsweiler, APRN
• Enlightened World of Recovery, Inc.
• Richard M Farrell, M.D.
• William J Farrell, M.D.
• Charlotte Ann Foster, REGISTERED NURSE
• Michelle C Frangella Finley
• Joyce D Fusek, PSY.D.
• Gail Lynn Gabbert, D.MIN., LMFT
• Galena Area Emergency Medical Service District

• All providers in Galena, IL
• Psychiatric/Mental Health Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.