Active NPI
Pamela S Hosterman, MS, CCC-SLP
- Speech-Language Pathologist
- Chattanooga, TN
National Provider Identifier
1245246347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0667
- Practice address
- 600 N. Holtzclaw - Suite 200
Chattanooga, TN 37404-1240 - Phone
- (423) 622-6900
- Fax
- (423) 622-4834
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0667 | TN | Primary |
| Speech-Language Pathologist | 235Z00000X | 1410 | GA |
Addresses
Primary practice location
600 N. Holtzclaw - Suite 200
Chattanooga, TN 37404-1240
Mailing address
600 N. Holtzclaw - Suite 200
Chattanooga, TN 37404-1240
Phone (423) 622-6900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4640001 | Other | TN | UNITEDHEALTHCARE |
| 3063447 | Medicaid | TN | |
| 3063447 | Other | TN | BCBST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0667 | TN | MD | Speech-Language Pathologist |
| 1410 | GA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signal Centers Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2212 Encompass Dr
Ste 148
Chattanooga, TN 37421
Phone (423) 622-6900
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1245246347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N. HOLTZCLAW - SUITE 200",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041240",
"telephone_number": "423-622-6900",
"fax_number": "423-622-4834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N. HOLTZCLAW - SUITE 200",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041240",
"telephone_number": "423-622-6900",
"fax_number": "423-622-4834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSTERMAN",
"first_name": "PAMELA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "0667",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "1410",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "4640001",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3063447",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "3063447",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.