Active NPI
Pamala H Fairclough, C.R.N.P.
- Obstetrics & Gynecology Nurse Practitioner
- Huntsville, AL
National Provider Identifier
1427196294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 1-035715
- Practice address
- 910 Adams St SE
Suite 300
Huntsville, AL 35801-3730 - Phone
- (256) 533-7420
- Fax
- (256) 536-4109
- NPI assigned
- Feb 2, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 1-035715 | AL | Primary |
Addresses
Primary practice location
910 Adams St SE
Suite 300
Huntsville, AL 35801-3730
Mailing address
910 Adams St SE
Suite 300
Huntsville, AL 35801-3730
Phone (256) 533-7420
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)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-035715 | AL | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427196294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 ADAMS ST SE",
"address_2": "SUITE 300",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013730",
"telephone_number": "256-533-7420",
"fax_number": "256-536-4109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 ADAMS ST SE",
"address_2": "SUITE 300",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013730",
"telephone_number": "256-533-7420",
"fax_number": "256-536-4109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIRCLOUGH",
"first_name": "PAMALA",
"middle_name": "H",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "AL",
"license": "1-035715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
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.