Pamela Jean Dubis, R.N.

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

R165798 Issued in MD

Practice address

1211 Duvall Highway
Pasadena, MD 21114

Phone

(410) 437-4820

Fax

(410) 437-7012

NPI assigned

Apr 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437378882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 WOODVIEW CT",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211143156",
            "telephone_number": "410-980-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 DUVALL HIGHWAY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "21114",
            "telephone_number": "410-437-4820",
            "fax_number": "410-437-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBIS",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MD",
            "license": "R165798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carol Luree Eckerl, CDA

• School Registered Nurse in Pasadena, MD
• Providers in Pasadena, MD by specialty
• School Registered Nurse in Maryland

• 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.

Verify at the official NPI Registry.