Pamela J Chrisco, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A01742 Issued in AR

Practice address

3400 SE Macy Rd
18
Bentonville, AR 72712-7841

Phone

(479) 845-0880

Fax

(479) 845-8887

NPI assigned

Aug 10, 2006

Last updated

Jan 9, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452297600000",
    "number": "1740291525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SE MACY RD",
            "address_2": "18",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127841",
            "telephone_number": "479-845-0880",
            "fax_number": "479-845-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SE MACY RD",
            "address_2": "18",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127841",
            "telephone_number": "479-845-0880",
            "fax_number": "479-845-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISCO",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A01742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152203758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aliya Charles
• Eva Charles
• Sara Chastain
• Carol A Chinn, AUD
• Payam Chitsazan
• Taylor Morgan Christie, PA-C, RDN, IFMCP
• Sunshine Christman, MHPP
• Anthony Christopher
• Grace Ann Church, M.S., CCC-SLP
• City of Bentonville (Bentonville Ambulance)

• Family Nurse Practitioner in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2016; 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.