Pamela J Whitlock, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

144642 Issued in MO

Practice address

4016 Main St
Cassville, MO 65625-9753

Phone

(417) 847-0057

Fax

(417) 847-0079

NPI assigned

Nov 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Barry County Health Department

  • State or Local Public Health Clinic/Center
  • Cassville, MO
  • NPI 1548384670
  NPD (past)
• Ozark Tri-County Health Care Consortium

  • Federally Qualified Health Center (FQHC)
  • Carthage, MO
  • NPI 1992995120
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1356417810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 DONIPHAN DR",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648509120",
            "telephone_number": "417-451-9450",
            "fax_number": "417-451-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 MAIN ST",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656259753",
            "telephone_number": "417-847-0057",
            "fax_number": "417-847-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "144642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425785011",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP
• Walmart Pharmacy #0914
• Brian Francis Walsh, M.A., D.C.
• White Oak Medical, Inc
• Patrick Logan Whitley, PHARMD
• Amanda K. Winfrey, FNP
• Kelsey Wiseman, PT, DPT
• Sheila Renee Wolf, OTRL
• Young Family Dentistry, LLC

• Family Nurse Practitioner in Cassville, MO
• Providers in Cassville, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.