Individual provider Active NPI

Pamela G. Flink, D.C.

  • Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1871633628
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH-7591 Issued in FL
Practice address
2691 SW Port St Lucie Blvd
Port St Lucie, FL 34953-2848
Phone
(772) 344-5914
Fax
(772) 344-5915
NPI assigned
Feb 8, 2007
Last updated
Jun 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH-7591 FL Primary

Addresses

Primary practice location

2691 SW Port St Lucie Blvd
Port St Lucie, FL 34953-2848

Mailing address

10801 SW Tradition SQ
Port St Lucie, FL 34987-1934
Phone (772) 344-5914

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

State licenses

LicenseStateTypeSpecialty
CH-7591FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1871633628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 SW TRADITION SQ",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349871934",
            "telephone_number": "772-344-5914",
            "fax_number": "772-344-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2691 SW PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532848",
            "telephone_number": "772-344-5914",
            "fax_number": "772-344-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINK",
        "first_name": "PAMELA",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH-7591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.