Active NPI
Pamela Pieper, MSN, PNP
- Pediatric Nurse Practitioner
- Gainesville, FL
National Provider Identifier
1194708065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1589572
- Practice address
- 101 S Newell Drive
Gainesville, FL 32611 - Phone
- (904) 244-3913
- Fax
- (904) 244-3870
- NPI assigned
- Nov 23, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1589572 | FL | Primary |
Addresses
Primary practice location
101 S Newell Drive
Gainesville, FL 32611
Mailing address
PO Box 100197
Gainesville, FL 32610-0197
Phone (904) 244-3913
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000909774B | Medicaid | GA | |
| 3006565-00 | Medicaid | FL |
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1589572 | FL | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257465600000",
"number": "1194708065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100197",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100197",
"telephone_number": "904-244-3913",
"fax_number": "904-244-3870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S NEWELL DRIVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32611",
"telephone_number": "904-244-3913",
"fax_number": "904-244-3870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIEPER",
"first_name": "PAMELA",
"credential": "MSN, PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-23",
"last_updated": "2009-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "1589572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000909774B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3006565-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.