Active NPI
Pamela Denise Coleman-Snow, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95017697
- Practice address
- 1707 Eye St., Ste. 100
Bakersfield, CA 93301 - Phone
- (661) 310-3688
- NPI assigned
- May 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95017697 | CA | Primary |
| Registered Nurse | 163W00000X | 548317 | CA |
Addresses
Primary practice location
1707 Eye St., Ste. 100
Bakersfield, CA 93301
Mailing address
28039 Scott Rd Ste D-231
Murrieta, CA 92563-7479
Phone (951) 205-0715
Other practice location 1
28039 Scott Rd Ste D-231
Murrieta, CA 92563-7479
Phone (951) 205-0715
Other names 1
- Pamela Denise Coleman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 548317 | CA | MD | Registered Nurse |
| 95017697 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peach Tree Healthcare | Multi-Specialty | Current | Accepting new patients |
| Inland Psychiatric Medical Group, Inc. | Multi-Specialty | Current | Accepting new patients |
| Inland Psychiatric Medical Group, Inc. | Multi-Specialty | Current | Accepting new patients |
| Peach Tree Healthcare | Current | Accepting new patients | |
| Psychiatric Medical Practitioners, Inc. | Multi-Specialty | Past | Accepting new patients |
Locations
12442 Limonite Ave
Unit 104
Eastvale, CA 91752
Phone (951) 344-4451
162 N Santa Fe St
Hemet, CA 92543
Phone (951) 506-9522
9980 Live Oak Blvd
Live Oak, CA 95953
Phone (503) 749-3242
5730 Packard Ave
Ste 500
Marysville, CA 95901
Phone (530) 741-3242
1114 Yuba St
Ste 220
Marysville, CA 95901
Phone (240) 816-4358
5600 Lindhurst Ave
Marysville, CA 95901
23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455
4446 Olive Ave
Bldg P5
Olivehurst, CA 95961
1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320
3810 Rosin Ct
Ste 100
Sacramento, CA 95834
Phone (530) 413-9627
1275 Tharp Rd
Yuba City, CA 95993
Interoperability endpoints
- pamela.colemansnow.p1@direct.peachtreehealth.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Redlands, CA
- NPI 1649217761
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Marysville, CA
- NPI 1003863622
Multi-Specialty
-
- Psychiatry Physician
- Redlands, CA
- NPI 1336977990
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1245043413
-
- Psychiatry Physician
- Bakersfield, CA
- NPI 1740551563
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1992388060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28039 SCOTT RD STE D-231",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925637479",
"telephone_number": "951-205-0715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 EYE ST., STE. 100",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93301",
"telephone_number": "661-310-3688"
}
],
"practiceLocations": [
{
"address_1": "28039 Scott Rd Ste D-231",
"address_purpose": "LOCATION",
"city": "Murrieta",
"state": "CA",
"postal_code": "925637479",
"country_code": "US",
"telephone_number": "951-205-0715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN-SNOW",
"first_name": "PAMELA",
"middle_name": "DENISE",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-05",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95017697",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "CA",
"license": "548317",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "COLEMAN",
"middle_name": "DENISE",
"credential": "PMHNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.