Individual provider Active NPI

Pamela Huffstetler, CFOM

  • Prosthetic/Orthotic Supplier
  • Shelby, NC
National Provider Identifier
1487852646
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CFOM0556 Issued in NC
Practice address
105 T R Harris Dr
Shelby, NC 28150-3486
Phone
(704) 487-5225
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CFOM0556 NC Primary

Addresses

Primary practice location

105 T R Harris Dr
Shelby, NC 28150-3486

Mailing address

105 T R Harris Dr
Shelby, NC 28150-3486
Phone (704) 487-5225

Other identifiers 2

IdentifierTypeStateIssuer
7795065OtherNCMASTECTOMY CERTIFIED FITT
7795240OtherNCORTHOTIC CERTIFIED FITTER

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CFOM0556NCMDProsthetic/Orthotic Supplier

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1487852646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 T R HARRIS DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503486",
            "telephone_number": "704-487-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 T R HARRIS DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503486",
            "telephone_number": "704-487-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFSTETLER",
        "first_name": "PAMELA",
        "credential": "CFOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": "CFOM0556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASTECTOMY CERTIFIED FITT",
            "identifier": "7795065",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHOTIC CERTIFIED FITTER",
            "identifier": "7795240",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.