Active NPI
Pamela Alexandria Conner
- Community Health Worker
- Tacoma, WA
National Provider Identifier
1841597754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- MA 00023814
- Practice address
- 10909 Portland Ave E
Suite F
Tacoma, WA 98445-5252 - Phone
- (253) 970-0433
- NPI assigned
- Feb 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MA 00023814 | WA | Primary |
Addresses
Primary practice location
10909 Portland Ave E
Suite F
Tacoma, WA 98445-5252
Mailing address
11106 10TH Avenue CT E
Apt. C-107
Tacoma, WA 98445-7090
Phone (253) 495-0580
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 00023814 | WA | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Body Massage, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Massage Therapist
- Tacoma, WA
- NPI 1447579362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297555200000",
"number": "1841597754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11106 10TH AVENUE CT E",
"address_2": "APT. C-107",
"city": "TACOMA",
"state": "WA",
"postal_code": "984457090",
"telephone_number": "253-495-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10909 PORTLAND AVE E",
"address_2": "SUITE F",
"city": "TACOMA",
"state": "WA",
"postal_code": "984455252",
"telephone_number": "253-970-0433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "PAMELA",
"middle_name": "ALEXANDRIA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-13",
"last_updated": "2011-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "WA",
"license": "MA 00023814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.