Pamela Campbell Phelps, NP - NURSE PRACTITIO

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4610 Issued in CA

Practice address

Spectrum 8695 Spectrum Center CT.
Sharp Employee Occupational Health
San Diego, CA 92123

Phone

(858) 499-5259

Fax

(858) 499-5317

NPI assigned

Mar 17, 2009

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

Other names 1

• Ms. Pamela Sue Campbell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1275774457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SPECTRUM 8695 SPECTRUM CENTER COURT",
            "address_2": "SHARP - EMPLOYEE OCCUPATIONA HEALTH",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-499-5259",
            "fax_number": "858-499-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SPECTRUM 8695 SPECTRUM CENTER CT.",
            "address_2": "SHARP EMPLOYEE OCCUPATIONAL HEALTH",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-499-5259",
            "fax_number": "858-499-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "PAMELA",
        "middle_name": "CAMPBELL",
        "name_prefix": "Ms.",
        "credential": "NP - NURSE PRACTITIO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "4610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "CAMPBELL",
            "middle_name": "SUE",
            "prefix": "MS.",
            "credential": "NP NURSE PRACTITIONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blanca Estela Phelps, ASW
• Christine Rose Phelps, LCSW
• James David Phelps, PSS
• Jenna Phelps, OTD
• Jennifer Marie Phelps, LMFT
• Busara Phersayaphai
• Elizabeth Anne Philbin, PT, DPT
• Sandy Paloma Philbin, MSW
• Megan Margaret Philbrick, AGACNP
• Philip Azer, M.D., a Professional Corporation

• Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.