Individual provider Active NPI

Pamela Jamison, M.E/CCC-SLP

  • Speech-Language Pathologist
  • Springville, UT
National Provider Identifier
1245699602
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
65170954102 Issued in UT
Practice address
1072 Wildflower Way
Springville, UT 84663
Phone
(385) 314-0906
NPI assigned
Feb 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 65170954102 UT Primary

Addresses

Primary practice location

1072 Wildflower Way
Springville, UT 84663

Mailing address

1072 Wildflower Way
Springville, UT 84663-3243
Phone (801) 473-3046

Other practice location 1

1146 W 50 N
Mapleton, UT 84664-5573
Phone (801) 473-3046

Other practice location 2

1072 Wildflower Way
Springville, UT 84663
Phone (385) 314-0906 ext. 38531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Engineering

State licenses

LicenseStateTypeSpecialty
65170954102UTMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1455408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1245699602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 WILDFLOWER WAY",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846633243",
            "telephone_number": "801-473-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 WILDFLOWER WAY",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "84663",
            "telephone_number": "385-314-0906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1146 W 50 N",
            "address_purpose": "LOCATION",
            "city": "Mapleton",
            "state": "UT",
            "postal_code": "846645573",
            "country_code": "US",
            "telephone_number": "801-473-3046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1072 Wildflower Way",
            "address_purpose": "LOCATION",
            "city": "Springville",
            "state": "UT",
            "postal_code": "84663",
            "country_code": "US",
            "telephone_number": "385-314-0906 x38531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "PAMELA",
        "credential": "M.E/CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "65170954102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.