Active NPI
Pamela Lee Mello Dennis, FNP
- Nurse Practitioner
- Cameron Park, CA
National Provider Identifier
1447236799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP1845
- Practice address
- 3581 Palmer Dr
Suite 608
Cameron Park, CA 95682-8236 - Phone
- (530) 672-7060
- Fax
- (530) 672-7061
- NPI assigned
- Dec 19, 2005
- Last updated
- Dec 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP1845 | CA | Primary |
| Registered Nurse | 163W00000X | 258281 | CA |
Addresses
Primary practice location
3581 Palmer Dr
Suite 608
Cameron Park, CA 95682-8236
Mailing address
PO Box 45680
San Francisco, CA 94145-0680
Phone (530) 626-6155
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258281 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barba & Associates, Family Medicine, Inc. | Past | Accepting new patients | |
| Marshall Medical Center | Past | Accepting new patients | |
| Marshall Medical Center | Past | Accepting new patients | |
| Marshall El Dorado Endscopy Center | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Placerville, CA
- NPI 1063576510
-
- Endoscopy Clinic/Center
- Placerville, CA
- NPI 1629142708
-
- Family Medicine Physician
- El Dorado Hills, CA
- NPI 1114727377
-
dba Marshall OB/GYN
- Obstetrics & Gynecology Physician
- Placerville, CA
- NPI 1427153535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1447236799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45680",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941450680",
"telephone_number": "530-626-6155",
"fax_number": "530-626-6674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3581 PALMER DR",
"address_2": "SUITE 608",
"city": "CAMERON PARK",
"state": "CA",
"postal_code": "956828236",
"telephone_number": "530-672-7060",
"fax_number": "530-672-7061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLO DENNIS",
"first_name": "PAMELA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-19",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP1845",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "258281",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cameron Park, CA
- Sara McCarlie, DC
- Kristen McKelvey, PPS
- Alyson L McMillan, MSW, ASW
- Medi Ride Solutions
- Suzanne Renee Mell, LMFT
- Mercy Medical Group (Mercy Medical Group - Cameron Park, a Service of CHW)
- MGM Services Pro LLC (Homewatch CareGivers of Placerville - El Dorado Hills)
- Michael C. Yang, MD
- Majd Michael, M.D.
- Jennifer Misirli, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.