Pamela Ann Walck, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30007857 Issued in WA

Practice address

3214 50TH Street CT NW
#204
Gig Harbor, WA 98335-8589

Phone

(253) 851-1560

Fax

(253) 851-1580

NPI assigned

Sep 21, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lewis Family Chiropractic & Wellness, PLLC

  • Chiropractor
  • Gig Harbor, WA
  • NPI 1154576882
  NPD (past)

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1699961722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 50TH STREET CT NW",
            "address_2": "#204",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358589",
            "telephone_number": "253-851-1560",
            "fax_number": "253-851-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 50TH STREET CT NW",
            "address_2": "#204",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358589",
            "telephone_number": "253-851-1560",
            "fax_number": "253-851-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCK",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Edward Vonada, PHARMD
• Keiko J. Wada
• Dakota T Waddell, DPT
• Margo Wade Walsh, PH.D.
• Nia Christine Wainwright, LMP
• Walgreen Co
• Bethany Walker, MSW
• Jason Walker
• Nina Walker
• Brandi Ann Wallentine

• Family Nurse Practitioner in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.