Individual provider Active NPI

Pamela J Kelch, RN

  • Registered Nurse
  • Georgetown, OH
National Provider Identifier
1851651798
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN254420 Issued in OH
Practice address
17 Wood Cliff Way
Georgetown, OH 45121
Phone
(937) 515-9077
NPI assigned
May 25, 2012
Last updated
May 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN254420 OH Primary
Home Health Registered Nurse 163WH0200X RN254420 OH

Addresses

Primary practice location

17 Wood Cliff Way
Georgetown, OH 45121

Mailing address

17 Wood Cliff Way
Georgetown, OH 45121
Phone (937) 515-9077

Other names 1

  • Miss Pamela J Nunn Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN254420OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1851651798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WOOD CLIFF WAY",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "45121",
            "telephone_number": "937-515-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WOOD CLIFF WAY",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "45121",
            "telephone_number": "937-515-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELCH",
        "first_name": "PAMELA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN254420",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "RN254420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "NUNN",
            "middle_name": "J",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Georgetown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.