Active NPI
Pamela Hardy, NP
- Family Nurse Practitioner
- Kinston, NC
National Provider Identifier
1548247471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200053
- Practice address
- 324 N Queen St
Kinston, NC 28501-4932 - Phone
- (252) 522-9800
- Fax
- (252) 522-5520
- NPI assigned
- Dec 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200053 | NC | Primary |
Addresses
Primary practice location
324 N Queen St
Kinston, NC 28501-4932
Mailing address
PO Box 2278
Kinston, NC 28502-2278
Phone (252) 522-9800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7000216 | Medicaid | NC | |
| 500003551 | Other | NC | RR MEDICARE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200053 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234310400000",
"number": "1548247471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2278",
"city": "KINSTON",
"state": "NC",
"postal_code": "285022278",
"telephone_number": "252-522-9800",
"fax_number": "252-522-5520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 N QUEEN ST",
"city": "KINSTON",
"state": "NC",
"postal_code": "285014932",
"telephone_number": "252-522-9800",
"fax_number": "252-522-5520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "PAMELA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-30",
"last_updated": "2009-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "200053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7000216",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "500003551",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.