PAMELA J JARVIS (NPI# 1205937687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205937687 |
| Entity Type | Individual |
| Full Name | PAMELA J JARVIS |
| Credential | MA RN PMHNP |
| Practice Address |
624 S 13th St Range Mental Health Center Inc Virginia MN 55792 |
| Practice Telephone | 2187492881 |
| Practice Fax Number | 2187493806 |
| Mailing Telephone | 2187492881 |
| Mailing Fax Number | 2187493806 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2012-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R1503137 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 524131600 | 05 |
| Street Address |
624 S 13TH ST RANGE MENTAL HEALTH CENTER INC |
| City | VIRGINIA |
| State | MN |
| Zip Code | 55792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134220528 | Barbara J Thorne | Psychologist | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1659560522 | Susan M Abrahamson | Social Worker | 624 S 13th St, Virginia, MN 55792 | 2007-10-17 |
| 1881783926 | Mary R Champa | Registered Nurse | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-10-12 |
| 1174615058 | Autumn V Cole | Psychologist | 624 S 13th St, Virginia, MN 55792 | 2006-09-29 |
| 1457452823 | Range Mental Health Center | Clinic/Center | 624 S 13th St, Virginia, MN 55792 | 2006-09-26 |
| 1114028586 | Robert W Mcallister Jr. | Psychologist | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1801997044 | Craig D Stevens | Psychologist | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1386745537 | Carolyn R Dinneen | Social Worker | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1700987955 | Gordon W Hoelscher | Social Worker | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1578664967 | Timothy M Magee | Psychiatry & Neurology | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252983 | Teresa A Larrabee | Social Worker | 624 South 13th Street, Virginia, MN 55792 | 2018-04-20 |
| 1972874105 | Caryn M. Walters | Counselor | 504 1st St. S., Virginia, MN 55792 | 2012-01-19 |
| 1144502923 | Crystal Corrine Leal | Student in an Organized Health Care Education/Training Program | 624 S. 13th St., Virginia, MN 55792 | 2011-09-16 |
| 1417259110 | Ellen C. Taube | Pharmacist | 306 Chestnut, Virginia, MN 55792 | 2010-12-01 |
| 1518295567 | Virginia-gilbert Family Dental P.a | Dentist | 612-13th. St. So., Virginia, MN 55792 | 2009-12-03 |
| 1942442082 | Arrowhead Economic Opportunity Agency | In Home Supportive Care | 702 South Third Avenue, Virginia, MN 55792 | 2009-04-06 |
| 1609037324 | Stefan Leroy Kaiser | Preventive Medicine | 1101 9th St. N, Essentia Health Virginia Clinic, Virginia, MN 55792 | 2008-06-25 |
| 1457512915 | Duane Faccin Person | Legal Medicine | 910 6th St N, Duluth Clinic Virginia, Virginia, MN 55792 | 2008-06-18 |
| 1932368313 | Range Mental Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 731 3rd St S, Virginia, MN 55792 | 2008-06-02 |
| 1871634071 | Gary Frederick Miller | Social Worker | 624 S 13th Street, P O 1188, Virginia, MN 55792 | 2007-02-09 |
| Find all providers in zip 55792 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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|---|---|---|---|---|
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| 1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
| 1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
| 1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
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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.