Ludette Go Pamesa, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00021332 Issued in WA

Practice address

10614 Beardslee Blvd
Ste B
Bothell, WA 98011-3279

Phone

(425) 486-2008

Fax

(425) 877-1452

NPI assigned

May 20, 2008

Last updated

Feb 14, 2017By 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

Practice roles

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.

• Functional Health Seattle PLLC

  dba bothell chiropractic clinic

  • Chiropractor
  • Bothell, WA
  • NPI 1144685108
  NPD (past)

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1356508089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10614 BEARDSLEE BLVD",
            "address_2": "STE B",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113279",
            "telephone_number": "425-486-2008",
            "fax_number": "425-877-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10614 BEARDSLEE BLVD",
            "address_2": "STE B",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113279",
            "telephone_number": "425-486-2008",
            "fax_number": "425-877-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMESA",
        "first_name": "LUDETTE",
        "middle_name": "GO",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00021332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleah Paja
• Ann Pak
• Jennifer Lynn Pak, PHARM.D.
• Celina Palen, DO
• Christie Pallette, BSN
• Lisa Dawn Pamintuan, CPT
• Pan Pacific Health PPLC (Pan Pacific Health)
• Raisa Pankovets, DC
• Holly Louise Pankratz, LMHC
• Benjamin Ross Park, D.O.

• Specialist in Bothell, WA
• Providers in Bothell, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.