Individual provider Active NPI

Pamela Carden, CRNP

  • Nurse Practitioner
  • Woodland, AL
National Provider Identifier
1841210671
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1037412 Issued in AL
Practice address
76 County Road 64
Suite 3
Woodland, AL 36280-5209
Phone
(256) 449-2001
Fax
(256) 449-2174
NPI assigned
Jul 21, 2006
Last updated
Jul 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1037412 AL Primary

Addresses

Primary practice location

76 County Road 64
Suite 3
Woodland, AL 36280-5209

Mailing address

119 Ambulance Dr
Suite 202
Carrollton, GA 30117-3857
Phone (256) 449-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050208000341 AL Practitioner - Nurse Practitioner 8820049844 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1037412ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Health Services, Inc CurrentSince Jan 20, 2015 Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Jan 20, 2015 Accepting new patients
Quality of Life Health Services, Inc Current Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince May 6, 2022 Accepting new patients
Inphynet Contracting Services LLC Nurse Practitioner Past Accepting new patients
Coosa River Emergency Physicians, PLLC Past Accepting new patients
Randolph Health Systems, LLC Past Accepting new patients
Paragon Contracting Services LLC Nurse Practitioner Past Accepting new patients

Locations

1316 Noble St
Anniston, AL 36201
Phone (256) 236-0221

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

110 Spring St N
Talladega, AL 35160
Phone (256) 315-1697

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1841210671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 AMBULANCE DR",
            "address_2": "SUITE 202",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173857",
            "telephone_number": "256-449-2001",
            "fax_number": "256-449-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 COUNTY ROAD 64",
            "address_2": "SUITE 3",
            "city": "WOODLAND",
            "state": "AL",
            "postal_code": "362805209",
            "telephone_number": "256-449-2001",
            "fax_number": "256-449-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDEN",
        "first_name": "PAMELA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1037412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, AL

Sources for this page

Verify at the official NPI Registry.