Active NPI
Pamela Kay Vogt, C.O.T.A./L
- Specialist
- Eatonville, WA
National Provider Identifier
1336334044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OC00000853
- Practice address
- 36119 86TH Avenue CT E
Eatonville, WA 98328-8094 - Phone
- (360) 832-1075
- Fax
- (360) 832-1075
- NPI assigned
- Sep 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | OC00000853 | WA | Primary |
Addresses
Primary practice location
36119 86TH Avenue CT E
Eatonville, WA 98328-8094
Mailing address
36119 86TH Avenue CT E
Eatonville, WA 98328-8094
Phone (360) 832-1075
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 |
|---|---|---|---|
| OC00000853 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394409600000",
"number": "1336334044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36119 86TH AVENUE CT E",
"city": "EATONVILLE",
"state": "WA",
"postal_code": "983288094",
"telephone_number": "360-832-1075",
"fax_number": "360-832-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36119 86TH AVENUE CT E",
"city": "EATONVILLE",
"state": "WA",
"postal_code": "983288094",
"telephone_number": "360-832-1075",
"fax_number": "360-832-1075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGT",
"first_name": "PAMELA",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "C.O.T.A./L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2014-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "OC00000853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eatonville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.