PAMELA LYNN ADAMS LACKEY (NPI# 1487998605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487998605 |
| Entity Type | Individual |
| Full Name | PAMELA LYNN ADAMS LACKEY |
| Credential | PA-C |
| Practice Address |
Route 7a North 5957 Main Street Manchester Center VT 05255-8913 |
| Practice Telephone | 8023624440 |
| Mailing Telephone | 8023624440 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2020-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0550031150 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 9000586 | 05 | |
| NH | 33300169 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Anna Marsh Lane, Brattleboro, VT 053020101 | 8022577785 | 8022583798 |
| Street Address |
ROUTE 7A NORTH 5957 MAIN STREET |
| City | MANCHESTER CENTER |
| State | VT |
| Zip Code | 05255-8913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920031 | Dakota Malik | Naturopath | 5138 Main Sreet, Manchester Center, VT 05255 | 2020-10-21 |
| 1619502648 | Kathleen Baroody | Counselor | 5312 Main Steet, Manchester Center, VT 05255 | 2020-03-10 |
| 1255971917 | Katherine Alice Schlageter | Psychologist | 5429 Main Street, Office C-2, Manchester Center, VT 05255 | 2020-01-10 |
| 1316332075 | Green Mountain House Calls, LLC | Nurse Practitioner | 994 Dorset West Road, Dorset, VT 05255 | 2015-03-31 |
| 1962727826 | Tamra F Mooney | Occupational Therapist | 3511 Richville Rd, Manchester, VT 05255 | 2010-04-05 |
| 1760649214 | Eric R Nisenson | Durable Medical Equipment & Medical Supplies | 7252 Main Street, Manchester Center, VT 05255 | 2008-05-21 |
| 1659591774 | Manchester Eye Care PC | Technician/Technologist | Village Mall 4363 Rte 7a, Manchester Center, VT 05255 | 2007-04-30 |
| 1306979687 | Geoffry Lee Campe | Dentist | 107 Bonnet St, Manchester Center, VT 05255 | 2007-03-14 |
| 1316087828 | John Ottesen | Dentist | 74 Longview Drive, Manchester Center, VT 05255 | 2007-02-07 |
| 1568526226 | Catherine Cech | Dentist | 5271 Main Street, Manchester Ctr, VT 05255 | 2006-12-20 |
| Find all providers in zip 05255 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285295154 | Spencer Ciancola | Physician Assistant | 382 Elm St, Manchester Center, VT 05255-9655 | 2019-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639703796 | Blake Elizabeth Bohlig | Physician Assistant | 335 Tamarack Ln, Rutland, VT 05701-9501 | 2020-02-27 |
| 1831729532 | Emily Frances Swint | Physician Assistant | 106 E Allen St Unit 503, Winooski, VT 05404-2297 | 2020-01-22 |
| 1700416799 | Rachel Blair | Physician Assistant | L1 Stonehedge Dr, South Burlington, VT 05403-7320 | 2020-01-19 |
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1114400611 | Jordan David Carr | Physician Assistant | 278 Vt 149, West Pawlet, VT 05775-9798 | 2018-09-11 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1811494669 | Kara Katherine Hankes | Physician Assistant | 325 Dorset St, South Burlington, VT 05403-6351 | 2018-04-09 |
| 1366975328 | Elizabeth G Dunbar | Physician Assistant | 228 E Harvey Farm Rd, Waterbury Center, VT 05677-7117 | 2017-04-06 |
| 1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
| 1811349582 | Jillian Barney | Physician Assistant | 17 Belmont Ave Richards Building (1st Floor), Barttleboro, VT 05301 | 2016-07-06 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER CENTER |
| Zip Code | 05255 |
Please comment or provide details below to improve the information on PAMELA LYNN ADAMS LACKEY.
| 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.