Active NPI
Pamela J Whittacre, M.S. CCC/SLP
- Speech-Language Pathologist
- Keyser, WV
National Provider Identifier
1275706632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-0212
- Practice address
- 251 W Piedmont St
Keyser, WV 26726-2718 - Phone
- (304) 788-4216
- NPI assigned
- Apr 8, 2008
- Last updated
- Apr 8, 2008
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-0212 | WV | Primary |
Addresses
Primary practice location
251 W Piedmont St
Keyser, WV 26726-2718
Mailing address
15007 Laurel Ridge Rd SW
Cumberland, MD 21502-5822
Phone (301) 729-2379
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-0212 | WV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1275706632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15007 LAUREL RIDGE RD SW",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215025822",
"telephone_number": "301-729-2379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 W PIEDMONT ST",
"city": "KEYSER",
"state": "WV",
"postal_code": "267262718",
"telephone_number": "304-788-4216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTACRE",
"first_name": "PAMELA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "M.S. CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "SLP-0212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keyser, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.