Pamela Lynn Kielbowicz, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP5120 Issued in AZ

Practice address

1345 E Main St
Suite # 103
Mesa, AZ 85203-8947

Phone

(480) 223-0090

Fax

(480) 889-0088

NPI assigned

Aug 14, 2013

Last updated

Aug 14, 2013By 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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1417380346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10465 E PINE VALLEY DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852551703",
            "telephone_number": "702-378-2275",
            "fax_number": "480-889-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 E MAIN ST",
            "address_2": "SUITE # 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038947",
            "telephone_number": "480-223-0090",
            "fax_number": "480-889-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIELBOWICZ",
        "first_name": "PAMELA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Dental 2 P.C. (Kids Dental Place)
• Kids Dental Group PLLC (Mesa Pediatric Dentistry)
• Kids Dental Specialists LLC
• Kidzspot Pediatric Therapy-East Valley
• Olivia Kieffer, PA-C
• Keira Kielmeyer, LAC
• Lance David Kieser, AUD
• Ramsey Khair Kilani, M.D.
• James Edward Kilgore II, PTA
• Therese H Kilgore, MC, LPC

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.