Individual provider Active NPI

Pamela J. Elkins, NP

  • Acute Care Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1508178435
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
562233 Issued in TX
Practice address
3606 21St St
Suite 103
Lubbock, TX 79410-1226
Phone
(806) 725-4425
Fax
(806) 723-7347
NPI assigned
Jul 8, 2010
Last updated
Jan 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 562233 TX Primary

Addresses

Primary practice location

3606 21St St
Suite 103
Lubbock, TX 79410-1226

Mailing address

3420 22ND PL
Lubbock, TX 79410-1314
Phone (806) 725-5844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20101229000321 TX Practitioner - Nurse Practitioner 3476741810 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group CurrentSince Jan 3, 2012 Accepting new patients
Covenant Medical Group CurrentSince Jan 3, 2012 Accepting new patients

Locations

3801 50th St
Lubbock, TX 79413
Phone (806) 771-5500

2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228

3420 22nd Pl
Lubbock, TX 79410
Phone (806) 725-1800

3606 21st St
Ste 103
Lubbock, TX 79410
Phone (806) 725-4425

4515 Marsha Sharp Fwy
Lubbock, TX 79407
Phone 80674472232432

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1508178435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101314",
            "telephone_number": "806-725-5844",
            "fax_number": "806-723-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 21ST ST",
            "address_2": "SUITE 103",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101226",
            "telephone_number": "806-725-4425",
            "fax_number": "806-723-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "PAMELA",
        "middle_name": "J.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "562233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.