PAMELA KAYE SHADLEY CNS NPI 1801009485

NPI Information

NPI: 1801009485
Provider Name: PAMELA KAYE SHADLEY, CNS
Classification: Clinical Nurse Specialist - 364SN0800X
Entity Type: Individual

Specialization: Neuroscience

PECOS Registration: Yes

Address:
30 E APPLE ST STE 5254A
DAYTON, OH
ZIP 45409
Phone: (937) 208-4200
Get Directions

Pamela Kaye Shadley, CNS is a neuroscience clinical nurse specialist in Dayton, OH. Pamela Kaye Shadley, CNS NPI is 1801009485. 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:

30 E APPLE ST STE 5254A
DAYTON, OH
ZIP 45409-939
Phone: (937) 208-4200
Fax: (937) 208-4205

The NPI 1801009485 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 5/8/2007 and was last updated on 10/30/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SN0800X	Clinical Nurse Specialist	Neuroscience	APRN.CNS.02175	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0095580	MEDICAID	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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