Individual provider Active NPI

Pamela Petrus-Purser, AP, L.AC

  • Acupuncturist
  • Navarre, FL
National Provider Identifier
1982223715
Registry record updated Apr 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3992 Issued in FL
Practice address
7287 Navarre Pkwy
Navarre, FL 32566-7307
Phone
(850) 889-2908
NPI assigned
Apr 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP3992 FL Primary

Addresses

Primary practice location

7287 Navarre Pkwy
Navarre, FL 32566-7307

Mailing address

7287 Navarre Pkwy
Navarre, FL 32566-7307
Phone (850) 889-2908

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

LicenseStateTypeSpecialty
AP3992FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586649600000",
    "number": "1982223715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7287 NAVARRE PKWY",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667307",
            "telephone_number": "850-889-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7287 NAVARRE PKWY",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667307",
            "telephone_number": "850-889-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUS-PURSER",
        "first_name": "PAMELA",
        "credential": "AP, L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-12",
        "last_updated": "2020-04-12",
        "certification_date": "2020-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2020; 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.