Active NPI
Pamela S Pearson, RD
- Registered Dietitian
- Bluffton, IN
National Provider Identifier
1649936741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 933247
- Practice address
- 4107 SE State Road 116
Bluffton, IN 46714-9405 - Phone
- (419) 852-0302
- NPI assigned
- Nov 12, 2021
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 933247 | IN | Primary |
Addresses
Primary practice location
4107 SE State Road 116
Bluffton, IN 46714-9405
Mailing address
4107 SE State Road 116
Bluffton, IN 46714-9405
Phone (419) 852-0302
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
| License | State | Type | Specialty |
|---|---|---|---|
| 933247 | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1649936741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4107 SE STATE ROAD 116",
"city": "BLUFFTON",
"state": "IN",
"postal_code": "467149405",
"telephone_number": "419-852-0302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4107 SE STATE ROAD 116",
"city": "BLUFFTON",
"state": "IN",
"postal_code": "467149405",
"telephone_number": "419-852-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "PAMELA",
"middle_name": "S",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-12",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "933247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.