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Pamela S Pearson, RD

Dietitian, Registered in Bluffton, IN. Individual provider (NPI-1).

NPI number1649936741
StatusActive
Last updated in NPPESNov 12, 2021

Details

NPI
1649936741
Entity type
Individual (NPI-1)
Name
Pamela S Pearson
Credential
RD
Sex
Female
Sole proprietor
No
Enumeration date
Nov 12, 2021
Certification date
Nov 12, 2021
Last updated
Nov 12, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered933247INYes

Practice location

4107 Se State Road 116
Bluffton, IN 46714-9405

Phone 419-852-0302

Mailing address

4107 Se State Road 116
Bluffton, IN 46714-9405

Phone 419-852-0302

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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