Individual provider Active NPI

Pamela Denise Coleman-Snow, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1992388060
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95017697 Issued in CA
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

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 95017697 CA Primary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210810001510 CA Practitioner - Nurse Practitioner 0648674887 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
548317CAMDRegistered Nurse
95017697CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peach Tree Healthcare Multi-Specialty Current Accepting new patients
Inland Psychiatric Medical Group, Inc. Multi-Specialty CurrentSince Jul 23, 2021 Accepting new patients
Inland Psychiatric Medical Group, Inc. Multi-Specialty CurrentSince Jul 23, 2021 Accepting new patients
Peach Tree Healthcare CurrentSince Oct 1, 2021 Accepting new patients
Psychiatric Medical Practitioners, Inc. Multi-Specialty PastSince Oct 5, 2021 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

  • Direct secure messaging: pamela.colemansnow.p1@direct.peachtreehealth.nextgenshare.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.