Pamela Wingo, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2009031393 Issued in MO

Practice address

6110 Howdershell Rd
Hazelwood, MO 63042-1170

Phone

(314) 942-9499

NPI assigned

Sep 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Celebrationpointe

  dba The Community Counseling & Housing Services

  • Community Health Clinic/Center
  • Hazelwood, MO
  • NPI 1073099404

  Addiction (Substance Use Disorder)

  NPD
• Celebrationpointe

  dba The Community Counseling and Housing Services

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Hazelwood, MO
  • NPI 1568010346
  NPD

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1770134959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166 LINDELL BLVD STE 1B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082923",
            "telephone_number": "314-484-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 HOWDERSHELL RD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421170",
            "telephone_number": "314-942-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGO",
        "first_name": "PAMELA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2009031393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500075300",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1OP@CELEBRATIONPOINTE.ORG",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6110 Howdershell Rd",
            "city": "Hazelwood",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630421170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taijuana Wells, MA., LPC
• Jeannette Whitehead
• Jeanetta Marie Wilkerson, DC
• Kristy T Williams, D.C.
• Monique Marie Williams, MD
• With Open Arms Healthcare LLC
• Susan Michelle Wittlich, PA-C
• Michael James Wittmer, D.C.
• Olivia Louise Young, NP.
• Laura Ziegler

• Licensed Practical Nurse in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.