Active NPI
Pamela E Nelson, MS, CRC
- Social Worker
- Visalia, CA
National Provider Identifier
1982886404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3500 W Mineral King Ave
Suite C
Visalia, CA 93291-5635 - Phone
- (559) 730-9921
- Fax
- (559) 624-1042
- NPI assigned
- Nov 27, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
3500 W Mineral King Ave
Suite C
Visalia, CA 93291-5635
Mailing address
5957 S. Mooney Boulevard
Visalia, CA 93277
Phone (559) 730-9921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 7, 2024 through Oct 7, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1121 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings/Tulare Area Agency on Aging | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Visalia, CA
- NPI 1407016140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196208000000",
"number": "1982886404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5957 S. MOONEY BOULEVARD",
"city": "VISALIA",
"state": "CA",
"postal_code": "93277",
"telephone_number": "559-730-9921",
"fax_number": "559-624-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 W MINERAL KING AVE",
"address_2": "SUITE C",
"city": "VISALIA",
"state": "CA",
"postal_code": "932915635",
"telephone_number": "559-730-9921",
"fax_number": "559-624-1042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "PAMELA",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "MS, CRC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.