DR. PAMELA BEAVER WELLS (NPI# 1154502532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154502532 |
| Entity Type | Individual |
| Full Name | DR. PAMELA BEAVER WELLS |
| Other Name | MISS PAMELA SUE BEAVER |
| Credential | DNP, FNP-BC |
| Practice Address |
198 Ross Carter Blvd Duffield VA 24244-5117 |
| Mailing Address |
3114 Browns Mill Rd Johnson City TN 37604-1417 |
| Practice Telephone | 2764312900 |
| Mailing Telephone | 4236310432 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APN0000012879 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | NURSE PRACTITIONER | APN0000012879 | 01 |
| TN | DEA | MB2178552 | 01 |
| TN | AMERICAN NURSES CREDENTIA | 2007005748-22 | 01 |
| REGISTERED NURSE | RN00000129532 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3114 Browns Mill Rd, Johnson City, TN 376041417 | 4236310432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891280335 | Pamela Laverne Wells | Registered Nurse | 5 Christy Dr Ste 103, Chadds Ford, PA 19317-9667 | 2018-06-27 |
| 1679004147 | Pamela Wells | Counselor | 552 E Main St Apt 925, Statesboro, GA 30461-4264 | 2017-03-25 |
| 1396291266 | Pamela Wells | Driver | 832 Tammy Cove Ln, Jacksonville, FL 32218-7646 | 2016-08-30 |
| 1912921479 | Pamela Anne Wells | Pediatrics | 3230 Waring Ct Ste P, Oceanside, CA 92056-4509 | 2006-07-27 |
| 1003899030 | Pamela F Wells | Chiropractor | 685 E Remington Dr, Sunnyvale, CA 94087-1941 | 2005-11-23 |
| 1265725188 | Pamela S Wells | Counselor | 1115 Bethel Rd, Suite 206, Columbus, OH 43220-2690 | 2011-05-25 |
| 1851418636 | Pamela Lynne Wells | Social Worker | 1066 Kenduskeag Ave, Bangor, ME 04401-2914 | 2007-03-25 |
| 1972628063 | Pamela Sue Wells | Technician, Other | 622 Powell Avenue, Developmental Services, Big Stone Gap, VA 24219 | 2007-03-20 |
| 1588754535 | Pamela Ann Wells | Radiology | 700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 | 2006-10-13 |
| 1538127147 | Pamela Anne Wells | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2006-05-03 |
| Street Address |
198 ROSS CARTER BLVD |
| City | DUFFIELD |
| State | VA |
| Zip Code | 24244-5117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992292908 | Heather Ison | Counselor | 198 Ross Carter Blvd, Duffield, VA 24244-5117 | 2018-04-16 |
| 1902314016 | David Jonathan Anderson | Counselor | 198 Ross Carter Blvd, Duffield, VA 24244-5117 | 2018-01-11 |
| 1609327915 | Watauga Duffield Medical Center, P.C. | Family Medicine | 198 Ross Carter Blvd, Duffield, VA 24244-5117 | 2016-10-21 |
| 1831548247 | Adrian Scott Thacker | Nurse Practitioner | 198 Ross Carter Blvd, Duffield, VA 24244-5117 | 2016-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144646944 | Family Preservation Services, Inc. | Community/Behavioral Health | 355 Cecil D. Quillen Drive, Duffield, VA 24244 | 2014-03-17 |
| 1063710804 | Family Preservation Services, Inc | Early Intervention Provider Agency | 225 Boone Trail Road, Duffield, VA 24244 | 2011-03-03 |
| 1689998189 | Richard S Nicholas | Naturopath | 121 Advanced Technology Drive, Duffield, VA 24244 | 2010-03-26 |
| 1508042813 | Family Preservation Services, Inc | Community/Behavioral Health | 663 Duff-patt Highway, Duffield, VA 24244 | 2008-01-16 |
| 1225152903 | Jon Delmes Holmes | Technician, Other | 1100 Us Hwy 58, Doffield, VA 24244 | 2007-03-19 |
| 1255455937 | Francis Clark Roach | Technician, Other | 103 Fraley Avenue, Park Place, Duffield, VA 24244 | 2007-03-19 |
| 1902920036 | Lawrence Ray Castle | Counselor | 4907 Boonetrail Rd, Independence Unlimited, Duffield, VA 24244 | 2007-03-16 |
| 1598803892 | Brandi Suzette Dingus | Counselor | 1100 Hwy 58, Duffield, VA 24244 | 2007-02-01 |
| 1811035165 | Elois P Wampler | Counselor | 4907 Boone Trail Road, Indpendence Unlimited, Duffield, VA 24244 | 2007-02-01 |
| 1235280892 | Frontier Health | Day Training, Developmentally Disabled Services | 4907 Boone Trail Rd, Duffield, VA 24244 | 2007-01-12 |
| Find all providers in zip 24244 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676861 | Lauren Elizabeth Setler | Nurse Practitioner | 191 Kadin Hill Dr, Duffield, VA 24244-8364 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445846 | Stephanie Leann Ball | Nurse Practitioner | 655 Belfast School Rd, Cedar Bluff, VA 24609-8217 | 2020-10-24 |
| 1548867526 | Pamela Jean Scholl | Nurse Practitioner | 3704 Aquia Dr, Stafford, VA 22554-2705 | 2020-10-02 |
| 1356948483 | Dawn Aimee Fisher | Nurse Practitioner | 2187 Hunters Lodge Rd, Troy, VA 22974-4344 | 2020-10-01 |
| 1952918880 | Amesha Renee Custis | Nurse Practitioner | 2647 Jason Ave, Norfolk, VA 23509-1073 | 2020-09-24 |
| 1790390938 | Premier Healthcare Service, LLC | Nurse Practitioner | 1015 Eden Way N Ste A, Chesapeake, VA 23320-2787 | 2020-09-14 |
| 1871108233 | Ricky Brockington | Nurse Practitioner | 19124 Lakeside Dr, Courtland, VA 23837-2634 | 2020-09-12 |
| 1578178422 | Behishta Ishanzai | Nurse Practitioner | 7500 Geoint Dr, Springfield, VA 22150-7500 | 2020-09-08 |
| 1467066795 | Colleen Marie Gleason | Nurse Practitioner | 2522 S Arlington Mill Dr Apt D, Arlington, VA 22206-4033 | 2020-09-03 |
| 1639782659 | Wendy Renee Easter | Nurse Practitioner | 20720 Cross Timber Dr, Ashburn, VA 20147-4470 | 2020-08-28 |
| 1558974105 | Crystal Hermano | Nurse Practitioner | 5522 Swift Current Ct, Burke, VA 22015-1851 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
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| 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.