Active NPI
Pamela Magna Whitcomb, LPN
- Licensed Practical Nurse
- North Royalton, OH
National Provider Identifier
1215267653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN .116687
- Practice address
- 12737 W 130TH St
North Royalton, OH 44133-4235 - Phone
- (440) 228-7897
- Fax
- (440) 228-7897
- NPI assigned
- Jan 7, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 116687 | OH | |
| Licensed Practical Nurse | 164W00000X | PN .116687 | OH | Primary |
Addresses
Primary practice location
12737 W 130TH St
North Royalton, OH 44133-4235
Mailing address
12737 W 130TH St
North Royalton, OH 44133-4235
Phone (440) 228-7897
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | pamwhitcomb@yahoo.com | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116687 | OH | MD | Licensed Practical Nurse |
| PN .116687 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1215267653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12737 W 130TH ST",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441334235",
"telephone_number": "440-228-7897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12737 W 130TH ST",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441334235",
"telephone_number": "440-228-7897",
"fax_number": "440-228-7897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITCOMB",
"first_name": "PAMELA",
"middle_name": "MAGNA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-07",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "116687",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN .116687",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "pamwhitcomb@yahoo.com",
"affiliation": "N",
"endpointDescription": "pamwhitcomb@yahoo.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "12737 W 130th St",
"city": "North Royalton",
"state": "OH",
"country_code": "US",
"postal_code": "441334235",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Royalton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.