Pamela Kathleen Blakeley
Individual provider Active NPI Personal Care Attendant · Jefferson, TX
NPI 1720583263 · NPPES record last updated Mar 27, 2018
Key facts
- NPI
- 1720583263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 120 N Walnut St
Jefferson, TX 75657-1934 - Phone
- (903) 665-6131
- Fax
- (903) 665-7244
- NPI assigned
- Mar 27, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First in Pediatrics Home Health Care, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
120 N Walnut St
Jefferson, TX 75657-1934
Mailing address
PO Box 901
Jefferson, TX 75657-0901
Phone (903) 665-6131
Other providers in Jefferson, TX
- Wesley Mark Benson
- Amanda Joy Bishop
- Angie Marie Bizzell
- Heather Orline Black
- Jodi Black
- Jordan Brian
- Latrisha Bridges
- Heather Rae Burdine
- Tara Bevin Burke
- Amiee Darlene Burks Elam
All providers in Jefferson, TX · Personal Care Attendant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.