Individual provider Active NPI

Pamela Kay Colmer, B.S.N., R.N.

  • Registered Nurse
  • Wellston, OH
National Provider Identifier
1962554022
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN205106 Issued in OH
Practice address
20671 State Route 93
Wellston, OH 45692-9744
Phone
(740) 288-1156
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
Yes

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN205106OHMDRegistered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN205106 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

20671 State Route 93
Wellston, OH 45692-9744

Mailing address

20671 State Route 93
Wellston, OH 45692-9744

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962554022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20671 STATE ROUTE 93",
            "city": "WELLSTON",
            "state": "OH",
            "postal_code": "456929744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20671 STATE ROUTE 93",
            "city": "WELLSTON",
            "state": "OH",
            "postal_code": "456929744",
            "telephone_number": "740-288-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLMER",
        "first_name": "PAMELA",
        "middle_name": "KAY",
        "credential": "B.S.N., R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN205106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellston, OH

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.

Verify at the official NPI Registry.