Active NPI
Pamela Stroup
- Licensed Practical Nurse
- Niagara Falls, NY
National Provider Identifier
1255744835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 183294-1
- Practice address
- 632 7TH St
Apt 5
Niagara Falls, NY 14301-1771 - Phone
- (716) 253-2551
- NPI assigned
- Jun 11, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 183294-1 | NY | Primary |
Addresses
Primary practice location
632 7TH St
Apt 5
Niagara Falls, NY 14301-1771
Mailing address
632 7TH St
Apt 5
Niagara Falls, NY 14301-1771
Phone (716) 253-5515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FA64490T | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183294-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402444800000",
"number": "1255744835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 7TH ST",
"address_2": "APT 5",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011771",
"telephone_number": "716-253-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 7TH ST",
"address_2": "APT 5",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011771",
"telephone_number": "716-253-2551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROUP",
"first_name": "PAMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-11",
"last_updated": "2014-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "183294-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FA64490T",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.