STEPHANIE PENDLEY (NPI# 1083950133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083950133 |
| Entity Type | Individual |
| Full Name | STEPHANIE PENDLEY |
| Practice Address |
5201 Fountain Dr Ste D Crown Point IN 46307-5324 |
| Practice Telephone | 2196890008 |
| Mailing Telephone | 2196890008 |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184760548 | Stephanie Pendley | Nurse Practitioner | 1547 Clifton Rd Ne, Atlanta, GA 30322-4008 | 2007-01-30 |
| Street Address |
5201 FOUNTAIN DR STE D |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-5324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235326315 | Pamela K. Sills | Mechanotherapist | 5201 Fountain Dr, Suite F, Crown Point, IN 46307-5324 | 2007-10-02 |
| 1598004004 | Lorrie Ann Hart | Occupational Therapy Assistant | 5201 Fountain Dr, Suite D, Crown Point, IN 46307-5324 | 2013-02-04 |
| 1497003297 | Justine King | Speech-Language Pathologist | 5201 Fountain Dr, Suite D, Crown Point, IN 46307-5324 | 2012-08-27 |
| 1609132240 | Brittany Ann Komasinski | Developmental Therapist | 5201 Fountain Dr, Ste D, Crown Point, IN 46307-5324 | 2012-04-09 |
| 1033415153 | Melissa Drapac | Speech-Language Pathologist | 5201 Fountain Dr, Suite D, Crown Point, IN 46307-5324 | 2011-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351259 | Alicia Iles | Specialist/Technologist | 1514 Clifton Ave, Logansport, IN 46947-1420 | 2019-02-08 |
| 1306310420 | Kristin Meredith O'neal | Specialist/Technologist | 6998 S County Road 580 E, Kirklin, IN 46050-8802 | 2019-01-12 |
| 1396275137 | Brooke J Trueblood | Specialist/Technologist | 1160 Joliet St Ste 102, Dyer, IN 46311-3087 | 2017-06-14 |
| 1417324500 | Diane Lehr | Specialist/Technologist | 169 Cimarron Dr, Valparaiso, IN 46385-7307 | 2015-08-25 |
| 1730404534 | Grace J Mckinley | Specialist/Technologist | 3313 Bunting Ln, Lafayette, IN 47909-6828 | 2010-04-05 |
| 1285620278 | Aaron Blaine Winchester | Specialist/Technologist | 8976 Crystal Lake Dr, Indianapolis, IN 46240-6413 | 2005-09-23 |
| 1114545910 | Tabitha Leigh Ford | Specialist/Technologist | 1329 Applegate Ln, Clarksville, IN 47129-9612 | 2020-07-08 |
| 1578187423 | Candy Adriana Capilla | Specialist/Technologist | 216 N 5th St, Lafayette, IN 47901-2811 | 2020-06-05 |
| 1912543554 | Angela Gusakoska | Specialist/Technologist | 2906 Highway Ave, Highland, IN 46322-1631 | 2019-11-19 |
| 1295387090 | Stephanie Rene Hare-chinn | Specialist/Technologist | 6100 Miller Ave, Gary, IN 46403-2469 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
Please comment or provide details below to improve the information on STEPHANIE PENDLEY.
| 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.