Pamela Futch Lail, LMT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

MA 30210 Issued in FL

Practice address

3800 Saint Johns Ave
Palatka, FL 32177-3902

Phone

(386) 325-8305

Fax

(386) 325-8304

NPI assigned

Aug 15, 2011

Last updated

Aug 15, 2011By 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

State licenses

Practice roles

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.

• John P Baskett DC PA

  dba Putnam County Chiropractic Clinic

  • Chiropractor
  • Palatka, FL
  • NPI 1225094816
  NPD (past)

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1487933974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 POINSETTA AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774123",
            "telephone_number": "386-325-8305",
            "fax_number": "386-325-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SAINT JOHNS AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773902",
            "telephone_number": "386-325-8305",
            "fax_number": "386-325-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIL",
        "first_name": "PAMELA",
        "middle_name": "FUTCH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "MA 30210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarinity Labrew
• Bobby R Lafferty, DO
• Kaitlyn Lahart
• Dawn K. Laido, RPH
• Craig Lail, LMT
• Jennifer Ann Lajoie
• Lake Area Physical Therapy Palatka
• Lake Mary Medical Consulting Inc
• Elizabeth C Lamont, LCSW
• Amanda Ellen Lang, MS, BCBA

• Community Health Worker in Palatka, FL
• Providers in Palatka, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.