Pamela Gayle Dice, RN CFNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

24311 Issued in WV

Practice address

603 12TH Ave
Huntington, WV 25701-3221

Phone

(304) 522-6298

NPI assigned

Jan 30, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1356528533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 12TH AVENUE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "telephone_number": "304-522-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 12TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013221",
            "telephone_number": "304-522-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICE",
        "first_name": "PAMELA",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "RN CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "24311",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN24311-FNP-BC",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161603000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mason Dial
• Noah Matthew Dial, PHARMD
• Tiffany Michele Dial
• Zachary Dial
• Cara Michelle Dials, APRN
• Joshua Caleb Dickens
• Kasandra L Dickerson
• Kevin L Dickerson, C.R.N.A.
• Shayla Dickerson
• Deborah Dianne Dickson

• Nurse Practitioner in Huntington, WV
• Providers in Huntington, WV by specialty
• Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.