Pamela Spickler, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

57698 Issued in ID

Practice address

2517 17TH St Ste B
Lewiston, ID 83501

Phone

(208) 743-4373

NPI assigned

Mar 9, 2018

Sex

Female

Sole proprietor

No

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

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pamela.spickler.1@12569.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clearwater Gastroenterology

  • Specialist
  • Lewiston, ID
  • NPI 1518205715

  ID

  Medicare reassignment NPD
• Gem State Endoscopy

  • Ambulatory Surgical Clinic/Center
  • Lewiston, ID
  • NPI 1821459496
  NPD (past)

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1497258016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 17TH ST STE B",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016311",
            "telephone_number": "208-743-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 17TH ST STE B",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "83501",
            "telephone_number": "208-743-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICKLER",
        "first_name": "PAMELA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "57698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southway Internists PLLC
• Southway Orthodontics PLLC
• David B Souvenir, M.D.
• Connie Spears, FNP
• David A Spencer, MD
• Kayla Sprenger
• Carolyn Ann Spurling, P.T.
• Gregory Robert Spurling, M.D
• Ssa VIII, LLC
• St Joseph Hospital LLC

• All providers in Lewiston, ID
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.