Pam Callan, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP 3073522 Issued in FL

Practice address

1665 Cinnamon Fern CT
Fleming Island, FL 32003-3772

Phone

(904) 226-4830

NPI assigned

Aug 10, 2015

Last updated

Aug 10, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Heart 2 Heart Family Practice

  • Rural Health Clinic/Center
  • Melrose, FL
  • NPI 1871118604

  Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Care of North Florida, Inc

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1053679787
  Medicare reassignment NPD
• American Care of North Florida, Inc

  • General Practice Physician
  • Winter Haven, FL
  • NPI 1689934648
  NPD

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1316323587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 CINNAMON FERN CT",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033772",
            "telephone_number": "904-226-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 CINNAMON FERN CT",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033772",
            "telephone_number": "904-226-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAN",
        "first_name": "PAM",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 3073522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Burgstiner, APRN
• Heather Brooks Burson, APRN, PMHNP-BC
• Angela C Busch-Doble, D.O.
• Abby Butler, LCSW
• By Your Side Senior Care
• Alexa Marie Campbell, PHARMD
• Cancer Specialists, LLC (Cancer Specialists of North Florida)
• Michelle I Cannon, PT
• Cardiocare of Jacksonville LLC
• Lisa Carlo

• Family Nurse Practitioner in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.