Pamela Sue Marciszewski, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5195624 Issued in FL

Practice address

5421 Jonathan St
Hastings, FL 32145-6606

Phone

(386) 325-6152

NPI assigned

Nov 8, 2010

Last updated

Nov 8, 2010By 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

Other names 1

• Pamela Sue Coleman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1225339252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 JONATHAN ST",
            "city": "HASTINGS",
            "state": "FL",
            "postal_code": "321456606",
            "telephone_number": "386-325-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 JONATHAN ST",
            "city": "HASTINGS",
            "state": "FL",
            "postal_code": "321456606",
            "telephone_number": "386-325-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCISZEWSKI",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "263877",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5195624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "COLEMAN",
            "middle_name": "SUE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Orville Gray III, CSTFA
• Heart2Heart Clinic & Infusion PLLC
• Inbound Foundation, Inc.
• Shanace Isaac, LPN
• Michelle Kessler, FNP-BC
• Mark Casey Phillips (Extended Care Pharmacy Hastings)
• Matthew David Masters
• Samantha Lynn Milstead
• Parker Revels
• Rural Health Care, Inc. (Azalea Health)

• Licensed Practical Nurse in Hastings, FL
• Providers in Hastings, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.