Pam A Hartle

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Practice address

5720 S 77TH St
Ralston, NE 68127-4202

Phone

(531) 200-0563

Fax

(531) 867-4811

NPI assigned

Jun 4, 2025

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1225922396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 S 77TH ST",
            "city": "RALSTON",
            "state": "NE",
            "postal_code": "681274202",
            "telephone_number": "531-200-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 S 77TH ST",
            "city": "RALSTON",
            "state": "NE",
            "postal_code": "681274202",
            "telephone_number": "531-200-0563",
            "fax_number": "531-867-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLE",
        "first_name": "PAM",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Thresa Goodman, DDS
• Heather Ashley Hansman
• Ralph Benjamin Harris
• Melissa Marie Hart
• Nicholas T Hart, MS, ATC
• Rhonda Heien
• Harley Lynn Hentges
• Holl Enterprises, LLC
• Cary L Holl, DC
• Home Respiratory With Heart

• All providers in Ralston, NE
• Developmental Disabilities Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.