Pamala D Davis, RNCS,FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

077296 Issued in MO

Practice address

100 E Cass St
Rock Port, MO 64482-1528

Phone

(660) 744-5361

Fax

(660) 744-2247

NPI assigned

Jul 19, 2005

Last updated

Jul 9, 2007By the provider in NPPES

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 MO

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

State licenses

Practice roles

Locations

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.

• Community Hospital Association

  • Critical Access Hospital
  • Fairfax, MO
  • NPI 1942279500
  Medicare reassignment NPD
• Midwest Eye Care, PC

  • Ophthalmology Physician
  • Omaha, NE
  • NPI 1750360897
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1528067980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27779 280 ST",
            "city": "FAIRFAX",
            "state": "MO",
            "postal_code": "644468103",
            "telephone_number": "660-686-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CASS ST",
            "city": "ROCK PORT",
            "state": "MO",
            "postal_code": "644821528",
            "telephone_number": "660-744-5361",
            "fax_number": "660-744-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PAMALA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "RNCS,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "077296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bartholomew Drug Company (Stoner Drug)
• Bartholomew Drug Inc (Stoner Drug)
• Joanna Burke, PNP
• Richard Aron Burke, M.D.
• Community Hospital Association (Community Hospital-Fairfax)
• Dr. Susan P Eddleman
• Susan Pancoast Eddleman, D.D.S.
• Jennifer L Long-Kelly, LPC
• Janell Ann Moore, LPC, LMHP
• Northwest Missouri Industries, Inc.

• Family Nurse Practitioner in Rock Port, MO
• Providers in Rock Port, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.