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PAMELA KAY HIMSTEDT FNP-BC NPI 1164690236


NPI Information

NPI: 1164690236
Provider Name: PAMELA KAY HIMSTEDT, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3129 BLATTNER DR
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 335-0166
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Pamela Kay Himstedt, FNP-BC is a family nurse practitioner in Cape Girardeau, MO with 23 years of experience. Pamela Kay Himstedt, FNP-BC NPI is 1164690236. 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:

3129 BLATTNER DR
CAPE GIRARDEAU, MO
ZIP 63703-364
Phone: (573) 335-0166
Fax: (573) 335-7942

The NPI 1164690236 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 enumeration date for this NPI number is 2/12/2008 and was last updated on 2/10/2023.


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
1363LF0000XNurse PractitionerFamily099824MISSOURIYes
2163WD0400XRegistered NurseDiabetes Educator099824MISSOURINo

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
1425114907MEDICAIDMISSOURI
2P00607758OTHERMISSOURIRR MCR

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.