Active NPI
Pamela Sue Miller, ARNP
- Nurse Practitioner
- Ottumwa, IA
National Provider Identifier
1326011867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F050005
- Practice address
- 228 E 2ND St
Ottumwa, IA 52501-2981 - Phone
- (641) 682-9955
- Fax
- (641) 682-9946
- NPI assigned
- Feb 7, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F050005 | IA | Primary |
Addresses
Primary practice location
228 E 2ND St
Ottumwa, IA 52501-2981
Mailing address
228 E 2ND St
Ottumwa, IA 52501-2981
Phone (641) 682-9955
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0095232 | Medicaid | IA | |
| 45332 | Other | IA | WELLMARK |
| 235224 | Other | IA | MIDLANDS CHOICE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F050005 | IA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1326011867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 E 2ND ST",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012981",
"telephone_number": "641-682-9955",
"fax_number": "641-682-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 E 2ND ST",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012981",
"telephone_number": "641-682-9955",
"fax_number": "641-682-9946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "PAMELA",
"middle_name": "SUE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "F050005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0095232",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "45332",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "235224",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.