Pamela June Gardner-Davis, CNS

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

0001096960 Issued in VA

Practice address

4825 S Laburnum Ave
Richmond, VA 23231-2713

Phone

(804) 222-2607

Fax

(804) 236-9118

NPI assigned

Feb 16, 2007

Last updated

Sep 26, 2008By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1447394184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10299 WOODMAN RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604419",
            "telephone_number": "804-727-8500",
            "fax_number": "804-727-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 S LABURNUM AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232312713",
            "telephone_number": "804-222-2607",
            "fax_number": "804-236-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER-DAVIS",
        "first_name": "PAMELA",
        "middle_name": "JUNE",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0015000486",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0001096960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "162856",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julissa Garcia
• Garden of Healing Counseling and Consulting LLC
• Garden Path Home Care LLC
• Muhammad H Gardezi
• Gardner and la Rochelle Orthodontics PLLC
• Adria Gardner, M.S.
• Candice Nicole Gardner, NP
• Charles Chesley Gardner, MS, RKT.
• Christina Gardner, LCSW
• David F. Gardner, M.D.

• Psychiatric/Mental Health Registered Nurse in Richmond, VA
• Providers in Richmond, VA by specialty
• Psychiatric/Mental Health Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.