Active NPI
Pamela Faye Northcutt
- Nurse's Aide
- Tullahoma, TN
National Provider Identifier
1396875993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 615 Wilson Ave
Tullahoma, TN 37388-3264 - Phone
- (931) 455-9369
- Fax
- (931) 455-4827
- NPI assigned
- Mar 6, 2007
- 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's Aide | 376K00000X | Primary |
Addresses
Primary practice location
615 Wilson Ave
Tullahoma, TN 37388-3264
Mailing address
117 Anderson Dr
Tullahoma, TN 37388-2719
Phone (931) 455-9369
Other names 1
- Miss Pamela Faye Snell
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396875993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ANDERSON DR",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373882719",
"telephone_number": "931-455-9369",
"fax_number": "931-455-4827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 WILSON AVE",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373883264",
"telephone_number": "931-455-9369",
"fax_number": "931-455-4827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTHCUTT",
"first_name": "PAMELA",
"middle_name": "FAYE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "SNELL",
"middle_name": "FAYE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.