Organization Active NPI

Pam Fogleman

  • Respite Care
  • Mebane, NC
National Provider Identifier
1215197835
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
001-128 Issued in NC
Legal business name
PAM FOGLEMAN
Practice address
1205 Bethpage Dr
Mebane, NC 27302-8372
Phone
(919) 304-6144
Fax
(919) 304-6144
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Mrs. Pamela Talley Fogleman
Title
Afl Provider
Phone
(919) 304-6144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 001-128 NC Primary

Addresses

Primary practice location

1205 Bethpage Dr
Mebane, NC 27302-8372

Mailing address

1205 Bethpage Dr
Mebane, NC 27302-8372
Phone (919) 304-6144

Other names 1

  • Mental Health Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1215197835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 BETHPAGE DR",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273028372",
            "telephone_number": "919-304-6144",
            "fax_number": "919-304-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 BETHPAGE DR",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273028372",
            "telephone_number": "919-304-6144",
            "fax_number": "919-304-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAM FOGLEMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "FOGLEMAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "TALLEY",
        "authorized_official_title_or_position": "AFL PROVIDER",
        "authorized_official_telephone_number": "919-304-6144",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": "001-128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mebane, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.