Individual provider Active NPI

Pamela Elaine Shandy-Simms, OTR

  • Occupational Therapist
  • Corpus Christi, TX
National Provider Identifier
1508608399
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
101791 Issued in TX
Practice address
101 N Upper Broadway St
Corpus Christi, TX 78401-2756
Phone
(361) 887-2000
NPI assigned
Jun 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 101791 TX Primary

Addresses

Primary practice location

101 N Upper Broadway St
Corpus Christi, TX 78401-2756

Mailing address

7405 Lugano Dr
Corpus Christi, TX 78413-5219
Phone (361) 688-8228

Other names 1

  • Ms. Pamela Elaine Simms Other name

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
101791TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1508608399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 LUGANO DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135219",
            "telephone_number": "361-688-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N UPPER BROADWAY ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784012756",
            "telephone_number": "361-887-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANDY-SIMMS",
        "first_name": "PAMELA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "101791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "SIMMS",
            "middle_name": "ELAINE",
            "prefix": "MS.",
            "credential": "OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.