Pamela Ross

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11031705 Issued in FL

Practice address

137 Crystal Beach Dr Unit 137-C
Destin, FL 32541-3569

Phone

(850) 226-7100

NPI assigned

Mar 12, 2024

Last updated

Mar 12, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1316705411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 CRYSTAL BEACH DR UNIT 137-C",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325413569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 CRYSTAL BEACH DR UNIT 137-C",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325413569",
            "telephone_number": "850-226-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "PAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11031705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatriz Rodriguez, PHD
• Hannah Rodriguez
• Richard Jason Rogers, DMD
• Roland Resources LLC (Victoria E. Miller, LCSW)
• Cherisse Roman, PT, DPT
• Crystal Marie Rowell, MS CCC SLP
• Michael Scott Runnels, DMD, PA
• Christine Rushford, MS, LMHC
• Scott Thomas Rusin, MPT
• Helen Rutledge

• Psychiatric/Mental Health Nurse Practitioner in Destin, FL
• Providers in Destin, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.