Individual provider Active NPI

Pamela C Hairston, LVN

  • Licensed Vocational Nurse
  • Van Nuys, CA
National Provider Identifier
1740615368
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN271569 Issued in CA
Practice address
14515 Hamlin St
Suite 102
Van Nuys, CA 91411-1608
Phone
(818) 989-7475
Fax
(818) 908-2434
NPI assigned
Sep 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN271569 CA Primary

Addresses

Primary practice location

14515 Hamlin St
Suite 102
Van Nuys, CA 91411-1608

Mailing address

14515 Hamlin St
Suite 102
Van Nuys, CA 91411-1608
Phone (818) 989-7475

Other names 1

  • Pamela C Robbins Former name

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

LicenseStateTypeSpecialty
VN271569CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1740615368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14515 HAMLIN ST",
            "address_2": "SUITE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111608",
            "telephone_number": "818-989-7475",
            "fax_number": "818-908-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14515 HAMLIN ST",
            "address_2": "SUITE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111608",
            "telephone_number": "818-989-7475",
            "fax_number": "818-908-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRSTON",
        "first_name": "PAMELA",
        "middle_name": "C",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN271569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "ROBBINS",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.