Pamela J Dole, EDD, MPH, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

001995 Issued in CT

Practice address

401 W Thames St BLDG 301
Norwich, CT 06360-7155

Phone

(860) 859-4720

Fax

(860) 859-4700

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• State of Connecticut

  dba Department of Veterans' Affairs, Veterans Home

  • Skilled Nursing Facility
  • Rocky Hill, CT
  • NPI 1205951662
  NPD
• State of Connecticut

  dba Southeastern Mental Health Authority

  • Adult Mental Health Clinic/Center
  • Norwich, CT
  • NPI 1902831548
  NPD

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1245444702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W THAMES ST BLDG 301",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063607155",
            "telephone_number": "860-859-4720",
            "fax_number": "860-859-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W THAMES ST BLDG 301",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063607155",
            "telephone_number": "860-859-4720",
            "fax_number": "860-859-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLE",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "EDD, MPH, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "001995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Dileo
• Robert G. Dinwoodie, D.O.
• Allison Divicino, LMFT
• Jennifer Doerwaldt, DPT
• Patrick William Dolan, LCSW
• Elizabeth Anne Dominguez, LCSW
• Carol Donahue
• Cristine Donaruma, FNP
• Donna Civardi Rnfa, Aprn, FNP-BC, LLC
• Stephanie Donovan, LPC

• Nurse Practitioner in Norwich, CT
• Providers in Norwich, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.