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PAMELA D LOUDERBACK ARNP NPI 1104932896


NPI Information

NPI: 1104932896
Provider Name: PAMELA D LOUDERBACK, ARNP
Classification: Registered Nurse - 163WW0000X
Entity Type: Individual

Specialization: Wound Care

PECOS Registration: Yes

Address:
700 6TH STREET SOUTH
ST. PETERSBURG, FL
ZIP 33701
Phone: (904) 446-3701
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Pamela D Louderback, ARNP is a wound care registered nurse in St. Petersburg, FL with 25 years of experience. Pamela D Louderback, ARNP NPI is 1104932896. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

700 6TH STREET SOUTH
ST. PETERSBURG, FL
ZIP 33701-814
Phone: (904) 446-3701
Fax: (888) 507-9833

The NPI 1104932896 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Removal of skin and tissue (HCPCS:11045)
  • Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) (HCPCS:15271)
  • Removal of tissue from wounds per session (HCPCS:97597)

The enumeration date for this NPI number is 8/22/2006 and was last updated on 11/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0011XPreventive MedicineUndersea and Hyperbaric MedicineARNP1095812FLORIDANo
2163WW0000XRegistered NurseWound CareARNP1095812FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1304014300MEDICAIDFLORIDA
27373704OTHERAETNA
3P00226381OTHERRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.