Individual provider Active NPI

Pamela J. Handley, ANP-BC

  • Adult Health Nurse Practitioner
  • Flint, MI
National Provider Identifier
1760614838
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704117621 Issued in MI
Practice address
2222 S Linden Rd
Suite a
Flint, MI 48532-5475
Phone
(810) 733-0790
Fax
(810) 733-0235
NPI assigned
Aug 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704117621 MI Primary

Addresses

Primary practice location

2222 S Linden Rd
Suite a
Flint, MI 48532-5475

Mailing address

12265 Margaret Dr
Fenton, MI 48430-8805
Phone (810) 750-0489

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704117621MIMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: pamelahandley@ccem.gwaydirect.com

NPI Registry JSON

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1760614838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12265 MARGARET DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484308805",
            "telephone_number": "810-750-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S LINDEN RD",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325475",
            "telephone_number": "810-733-0790",
            "fax_number": "810-733-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDLEY",
        "first_name": "PAMELA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-21",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704117621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.