Active NPI
Pamela Sue Williams, BS AA AS IECE
- Developmental Therapist
- Chavies, KY
National Provider Identifier
1689753972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 98 Andy's Xing
Chavies, KY 41727 - Phone
- (606) 435-0064
- Fax
- (606) 435-0064
- NPI assigned
- Nov 6, 2006
- Last updated
- Jan 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | ||
| Developmental Therapist | 222Q00000X | NU | Primary |
Addresses
Primary practice location
98 Andy's Xing
Chavies, KY 41727
Mailing address
98 Andy's Xing
Chavies, KY 41727
Phone (606) 435-0064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 488 | Other | KY | DEVELOPMENTAL INTERVENTIO |
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
- Credentials
- Associate of Arts, Associate of Science, Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1689753972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 ANDY'S XING",
"city": "CHAVIES",
"state": "KY",
"postal_code": "41727",
"telephone_number": "606-435-0064",
"fax_number": "606-435-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 ANDY'S XING",
"city": "CHAVIES",
"state": "KY",
"postal_code": "41727",
"telephone_number": "606-435-0064",
"fax_number": "606-435-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "PAMELA",
"middle_name": "SUE",
"name_prefix": "Prof.",
"credential": "BS AA AS IECE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEVELOPMENTAL INTERVENTIO",
"identifier": "488",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chavies, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.