Active NPI
Pamela Jo Wingard, LMSW
- Behavior Technician
- Muskegon, MI
National Provider Identifier
1285108936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1050 W Western Ave Ste 400
Muskegon, MI 49441-1666 - Phone
- (231) 728-3442
- Fax
- (231) 722-0708
- NPI assigned
- Jan 16, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801084946 | MI | |
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1050 W Western Ave Ste 400
Muskegon, MI 49441-1666
Mailing address
1050 W Western Ave Ste 400
Muskegon, MI 49441-1666
Phone (231) 728-3442
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 |
|---|---|---|---|
| 6801084946 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice of Muskegon County, Inc. | Past | Accepting new patients | |
| Hospice of Muskegon County, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Harbor Palliative Care
- Hospice and Palliative Medicine (Family Medicine) Physician
- Muskegon, MI
- NPI 1306239314
-
dba Harbor Hospice
- Hospice and Palliative Medicine (Family Medicine) Physician
- Muskegon, MI
- NPI 1740283787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1285108936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 W WESTERN AVE STE 400",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494411666",
"telephone_number": "231-728-3442",
"fax_number": "231-722-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 W WESTERN AVE STE 400",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494411666",
"telephone_number": "231-728-3442",
"fax_number": "231-722-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINGARD",
"first_name": "PAMELA",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-16",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801084946",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.