Individual provider Active NPI

Pamela Sue Gieson, RN

  • Registered Nurse
  • Saint Louis, MO
National Provider Identifier
1992947543
Registry record updated Mar 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN136643 Issued in MO
Practice address
4050 Lindell Blvd
Saint Louis, MO 63108-3202
Phone
(314) 658-2133
Fax
(314) 289-1169
NPI assigned
Mar 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN136643 MO Primary
Registered Nurse 163W00000X 041-294105 IL
Registered Nurse 163W00000X 101077 KS

Addresses

Primary practice location

4050 Lindell Blvd
Saint Louis, MO 63108-3202

Mailing address

10820 Robinson Dr
Bunker Hill, IL 62014-2809
Phone (314) 799-2731

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041-294105ILMDRegistered Nurse
101077KSMDRegistered Nurse
RN136643MOMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1238198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238198400000",
    "number": "1992947543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 ROBINSON DR",
            "city": "BUNKER HILL",
            "state": "IL",
            "postal_code": "620142809",
            "telephone_number": "314-799-2731",
            "fax_number": "314-289-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 LINDELL BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083202",
            "telephone_number": "314-658-2133",
            "fax_number": "314-289-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESON",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-28",
        "last_updated": "2009-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "RN136643",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041-294105",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "101077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2009; 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.