Pamela Callison

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

135 Angel Rae Dr
White Sulphur Springs, WV 24986-7017

Phone

(304) 667-7694

NPI assigned

Sep 10, 2021

Last updated

Sep 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1215606462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 ANGEL RAE DR",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249867017",
            "telephone_number": "304-667-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 ANGEL RAE DR",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249867017",
            "telephone_number": "304-667-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLISON",
        "first_name": "PAMELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Rena Beck
• Jessica Ann Blair, PTA
• Amy Louise Blanton
• Katelyn Marie Braden
• Michelle Burgess
• Edna Carrington
• Maddison Carter
• Elizabeth Cavanagh, MS CCC SLP
• Haley Nichole Christy-Woods
• Angela Claytor-Jordan

• Community Health Worker in White Sulphur Springs, WV
• Providers in White Sulphur Springs, WV by specialty
• Community Health Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.