Pamala Nanette Grottanelli, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024171690 Issued in VA

Practice address

5620 Brook Rd
Richmond, VA 23227-2273

Phone

(888) 350-3380

Fax

(804) 767-8334

NPI assigned

Aug 6, 2014

Last updated

Aug 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1811306640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 BROOK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232272273",
            "telephone_number": "888-350-3380",
            "fax_number": "804-767-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 BROOK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232272273",
            "telephone_number": "888-350-3380",
            "fax_number": "804-767-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTTANELLI",
        "first_name": "PAMALA",
        "middle_name": "NANETTE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024171690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Viking Gross
• Victoria L Gross, MD
• Richard Frank Grosse, LCSW
• Catherine E Grossman, M.D.
• Eric Corey Grossman, M.D.
• Grounded Anchors LLC
• Grounded Therapeutic Services, LLC
• Grove Al, LLC (Windsor Assisted Living and Memory Care)
• Grove Ave Eye Center PC
• Grove Avenue Professional Associates, Inc.

• Adult Health Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.