Active NPI
Pamela A Peresta
- Registered Nurse
- Broadview HTS, OH
National Provider Identifier
1750696514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.356266
- Practice address
- 1150 Tollis Pkwy Apt 214
Broadview HTS, OH 44147-1859 - Phone
- (440) 679-9010
- NPI assigned
- Aug 17, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.356266 | OH | Primary |
Addresses
Primary practice location
1150 Tollis Pkwy Apt 214
Broadview HTS, OH 44147-1859
Mailing address
1150 Tollis Pkwy Apt 214
Broadview HTS, OH 44147-1859
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN.356266 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1750696514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 TOLLIS PKWY APT 214",
"city": "BROADVIEW HTS",
"state": "OH",
"postal_code": "441471859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 TOLLIS PKWY APT 214",
"city": "BROADVIEW HTS",
"state": "OH",
"postal_code": "441471859",
"telephone_number": "440-679-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERESTA",
"first_name": "PAMELA",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-17",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.356266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broadview HTS, OH
- Tamara Lynn Misch, OT
- Kristen Marie Nelson, CNP, MSN
- Francine Antonia Newbould, INDEPENDENT PROVIDER
- Maria M. Nolan, PT
- Oh CHS Pharmacy Services LLC (Pharmacy Solutions Group of Oh)
- Sara Lynn Pesut, DPT
- Kristina J Potonic
- Susan M Powers, MA,CCC,SLP
- Emily K Quade, MA,CCC,SLP
- Christina Marie Raftery, C.N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.