Active NPI
Pamela Resendez, CRNA
- Certified Registered Nurse Anesthetist
- Columbia, SC
National Provider Identifier
1922114867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 184
- Practice address
- WJB Dorn VA Medical Center
6439 Garners Ferry Road
Columbia, SC 29209 - Phone
- (803) 776-4000
- NPI assigned
- Aug 22, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 184 | SC | Primary |
Addresses
Primary practice location
WJB Dorn VA Medical Center
6439 Garners Ferry Road
Columbia, SC 29209
Mailing address
WJB Dorn VA Medical Center
6439 Garners Ferry Road
Columbia, SC 29209
Phone (803) 776-4000
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 |
|---|---|---|---|
| 184 | SC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922114867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WJB DORN VA MEDICAL CENTER",
"address_2": "6439 GARNERS FERRY ROAD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29209",
"telephone_number": "803-776-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WJB DORN VA MEDICAL CENTER",
"address_2": "6439 GARNERS FERRY ROAD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29209",
"telephone_number": "803-776-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESENDEZ",
"first_name": "PAMELA",
"name_prefix": "Miss",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.