PAMELA L. SISK (NPI# 1821061250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821061250 |
| Entity Type | Individual |
| Full Name | PAMELA L. SISK |
| Other Name | PAMELA L ASHFORD |
| Credential | APRN, BC |
| Practice Address |
1200 Nw South Outer Rd Ste 301 Blue Springs MO 64015-3059 |
| Mailing Address |
1200 Nw South Outer Rd Blue Springs MO 64015-3065 |
| Practice Telephone | 8167951881 |
| Mailing Telephone | 8162860222 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
131115 | MO | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 423952514 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659755585 | Pamela Sisk | Nurse Practitioner | 220 N Main St Ste 500, Greenville, SC 29601-2129 | 2015-07-09 |
| Street Address |
1200 NW SOUTH OUTER RD STE 301 |
| City | BLUE SPRINGS |
| State | MO |
| Zip Code | 64015-3059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780725762 | Joyce R Wallace | Psychologist | 1200 Nw South Outer Rd, Ste 310, Blue Springs, MO 64015-3072 | 2007-02-10 |
| 1053475186 | Mary M Neubauer | Psychologist | 1200 Nw South Outer Rd, Suite 223, Blue Springs, MO 64015-3072 | 2006-12-21 |
| 1770670671 | Greene-davis Enterprises, LLC | Clinic/Center | 1200 Nw South Outer Rd, Suite 116, Blue Springs, MO 64015-3072 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492719 | Ignite Medical Resort Independence LLC | Skilled Nursing Facility | 20511 E. Trinity Pl., Blue Springs, MO 64015 | 2020-06-24 |
| 1881004851 | Serina Sitchler | Occupational Therapy Assistant | 3980 Jackson Dr, Independence, MO 64015 | 2014-04-30 |
| 1700207099 | Usa Rental & Sales, Inc | Contractor | 1911 W. 40 Highway, Suite A, Blue Springs, MO 64015 | 2014-01-03 |
| 1629416540 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1101 Nw Woods Chapel Rd, Blue Springs, MO 64015 | 2013-06-13 |
| 1356689376 | Carl H. Dahlquist D.d.s.,llc | Dentist | 1508 N.w. Mock Ave. Ste A, Blue Springs, MO 64015 | 2013-01-25 |
| 1043560493 | Timothy A. Cox | Specialist/Technologist, Other | 808 Nw Maynard Street, Blue Springs, MO 64015 | 2012-09-13 |
| 1578847547 | Shannon J Hattey | Pharmacist | 1701 Nw 7 Hwy, Blue Springs, MO 64015 | 2011-10-07 |
| 1497937676 | Michael Ray Pardun | Chiropractor | 3650 W Hwy 40, Blue Springs, MO 64015 | 2007-11-29 |
| 1437374337 | Clinton Earl Thomas | Counselor | 1200 S. Outer Rd. Suite 330, Blue Springs, MO 64015 | 2007-04-16 |
| 1235251562 | Leigh Gilburn | Family Medicine | 5435 Sw Us Highway 40, Blue Springs, MO 64015 | 2007-04-06 |
| Find all providers in zip 64015 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053298 | Santissa Tenise Clapp | Registered Nurse | 4265 Clark Ave Apt 218, Kansas City, MO 64111-4580 | 2020-11-06 |
| 1619574936 | Jessica Marie Booker | Registered Nurse | 6403 Star Buck Dr, O Fallon, MO 63368-7836 | 2020-10-08 |
| 1689290017 | Modupeola Falubi | Registered Nurse | 5741 N Beaman Ave, Kansas City, MO 64151-3293 | 2020-06-22 |
| 1285277582 | Stephen Carew | Registered Nurse | 3000 Lafayette Ave Apt 5a, Saint Louis, MO 63104-1440 | 2019-10-20 |
| 1336678366 | Ann Marie Chartrand | Registered Nurse | 11116 S Towne Square Suite 101, St. Louis, MO 63123-2064 | 2017-06-04 |
| 1871901967 | Angelia Mack | Registered Nurse | 1907 1/2 Semple Ave, Saint Louis, MO 63112-4307 | 2014-08-01 |
| 1962810416 | Johonda L Willis | Registered Nurse | 6600 Crest Ave, Saint Louis, MO 63130-2604 | 2014-07-29 |
| 1255756482 | Kathleen Zervas | Registered Nurse | 5125 Crosswood Dr, Saint Louis, MO 63129-2408 | 2014-02-25 |
| 1376843714 | Sandra Jeanne Moore | Registered Nurse | 107 W Broadway, Pathway's Behavioral Health Care, Eldorado Springs, MO 64744 | 2010-11-02 |
| 1003128596 | Marilyn Gay Gaddy | Registered Nurse | 205 E Dakota, Butler, MO 64730 | 2010-07-13 |
| Find all providers with the same taxonomy | ||||
| City | BLUE SPRINGS |
| Zip Code | 64015 |
Please comment or provide details below to improve the information on PAMELA L. SISK.
| 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.