Active NPI
Pamela L Detrick, MHNP
- Psychiatric/Mental Health Nurse Practitioner
- Sun City Center, FL
National Provider Identifier
1770638801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- ARNP1558782
- Practice address
- 2218 Brookfield Greens Cir
Sun City Center, FL 33573-8047 - Phone
- (702) 408-8897
- NPI assigned
- Jan 25, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | ARNP1558782 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP1558782 | FL | Primary |
Addresses
Primary practice location
2218 Brookfield Greens Cir
Sun City Center, FL 33573-8047
Mailing address
2218 Brookfield Greens Cir
Sun City Center, FL 33573-8047
Phone (702) 408-8897
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308485000 | Medicaid | FL | |
| Y8586 | Other | FL | BLUE CROSS BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1558782 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1770638801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2218 BROOKFIELD GREENS CIR",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335738047",
"telephone_number": "702-408-8897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2218 BROOKFIELD GREENS CIR",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335738047",
"telephone_number": "702-408-8897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETRICK",
"first_name": "PAMELA",
"middle_name": "L",
"credential": "MHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "ARNP1558782",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP1558782",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308485000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y8586",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sun City Center, FL
- Dental Associates of Florida - Cosmetic and Implant Dentistry PLLC
- Dental Associates of Florida (Sun City Center) PLLC
- Dental Associates of Suncity
- Dental Experts of Florida
- Kathryn Jenny Derrick, PA-C
- Vijayalakshmi Dhaduvai, M.D.
- Joseph Frank Diaz, DDS
- Nicollette Dibenedetto, LMHC
- Lorenzo Dickens Jr., PHARM D.
- Maria Dillon, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.