PAMELA D LOUDERBACK (NPI# 1104932896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104932896 |
| Entity Type | Individual |
| Full Name | PAMELA D LOUDERBACK |
| Credential | ARNP |
| Practice Address |
700 6th Street South St. Petersburg FL 33701-4814 |
| Mailing Address |
5220 Belfort Rd Suite 130 Jacksonville FL 32256-6017 |
| Practice Telephone | 9044463701 |
| Practice Fax Number | 8885079833 |
| Mailing Telephone | 9044463701 |
| Mailing Fax Number | 8885079833 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2014-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WW0000X |
Registered Nurse Specialization: Wound Care |
ARNP1095812 | FL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 7373704 | 01 | |
| RAILROAD MEDICARE | P00226381 | 01 | |
| FL | 304014300 | 05 |
| Street Address |
700 6TH STREET SOUTH |
| City | ST. PETERSBURG |
| State | FL |
| Zip Code | 33701-4814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 163WW0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Wound Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536149 | Reflections Wound Care and Wellness Centers | Registered Nurse | 7011 A C Skinner Pkwy Ste 145, Jacksonville, FL 32256-6954 | 2020-10-21 |
| 1881229532 | Wound and Medical Outreach Clinic LLC | Registered Nurse | 12250 Blue Pacific Dr, Riverview, FL 33579-1803 | 2020-03-03 |
| 1083253231 | Diandra Roman Mercado | Registered Nurse | 206 Cinnamon Bark Pl, Valrico, FL 33594-3600 | 2020-01-04 |
| 1619518198 | Chinelo Onwuzor | Registered Nurse | 8900 N Armenia Ave Ste 206, Tampa, FL 33604-1072 | 2019-10-04 |
| 1962977165 | Curelogics Wound Care and Hyperbaric LLC | Registered Nurse | 809 County Road 466, Unit C-201, Lady Lake, FL 32159 | 2018-10-04 |
| 1265929012 | Fantastic Wound Care LLC | Registered Nurse | 2580 Metrocentre Boulevard, Suite 5, West Palm Beach, FL 33407 | 2018-04-17 |
| 1205385291 | Ruth Altidor-floreus | Registered Nurse | 6805 Merion Pl, North Lauderdale, FL 33068-3705 | 2016-10-02 |
| 1548639347 | Simha Group, Inc. | Registered Nurse | 2918 Willow Bay Ter, Casselberry, FL 32707-6733 | 2015-09-22 |
| 1437497369 | Annet Tivin | Registered Nurse | 3425 Pinewalk Dr N, Apt 105, Margate, FL 33063-7814 | 2013-01-28 |
| 1649523804 | J Suzanne Mckibben | Registered Nurse | 6732 67th Way N, Pinellas Park, FL 33781-5049 | 2012-10-24 |
| Find all providers with the same taxonomy | ||||
| City | ST. PETERSBURG |
| Zip Code | 33701 |
Please comment or provide details below to improve the information on PAMELA D LOUDERBACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.