Individual provider Active NPI

Pam Susan Chin-Lai, M.S., R.D., L.D.

  • Registered Dietitian
  • Dallas, TX
National Provider Identifier
1902191836
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DTO 3252 Issued in TX
Practice address
17300 Preston Rd Ste 160
Dallas, TX 75252-4623
Phone
(972) 930-0766
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DTO 3252 TX Primary

Addresses

Primary practice location

17300 Preston Rd Ste 160
Dallas, TX 75252-4623

Mailing address

17300 Preston Rd Ste 160
Dallas, TX 75252-4623
Phone (972) 930-0766

Other names 1

  • Ms. Pamela Susan Jarboe Other 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
Master of Science

State licenses

LicenseStateTypeSpecialty
DTO 3252TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1902191836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 PRESTON RD STE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752524623",
            "telephone_number": "972-930-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 PRESTON RD STE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752524623",
            "telephone_number": "972-930-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN-LAI",
        "first_name": "PAM",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "M.S., R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DTO 3252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "JARBOE",
            "middle_name": "SUSAN",
            "prefix": "MS.",
            "credential": "M.S., R.D., L.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.