KIMBERLY C PENDLETON


Address: 1009 Lark St, Suite 2, Johnson City, TN 37604-8217
Phone: 4232830776

KIMBERLY C PENDLETON (NPI# 1215920376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215920376
Entity Type Individual
Full Name KIMBERLY C PENDLETON
Credential CRNA
Practice Address 1009 Lark St
Suite 2
Johnson City
TN 37604-8217
Mailing Address Po Box 3727
Johnson City
TN 37602-3727
Practice Telephone 4232830776
Practice Fax Number 4232830549
Mailing Telephone 4232830776
Mailing Fax Number 4232830549
Enumeration Date 2005-08-24
Last Update Date 2013-05-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered RN0000049997 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 3602812 05

Other Providers KIMBERLY PENDLETON

NPI Name Taxonomy Address Enumeration
1902421969 Kimberly Pendleton Behavioral Analyst 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235-2023 2020-06-15

Office Location

Street Address 1009 LARK ST
SUITE 2
City JOHNSON CITY
State TN
Zip Code 37604-8217

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609875103 David Edward Kreshek Anesthesiology 1009 Lark St, Suite 2, Johnson City, TN 37604-8217 2005-07-18
1043758154 Michelle Nicole Couper Registered Nurse 1009 Lark St, Suite 2, Johnson City, TN 37604-8217 2017-02-09
1457899569 Matthew James Mcconnell Nurse Anesthetist, Certified Registered 1009 Lark St, Suite 2, Johnson City, TN 37604-8217 2017-02-09
1225498223 Seth Patrick Duty Nurse Anesthetist, Certified Registered 1009 Lark St, Suite 2, Johnson City, TN 37604-8217 2016-03-03
1558728931 Appalachian Health Care, Inc Nurse Practitioner 1009 Lark St, Suite 1a, Johnson City, TN 37604-8217 2016-01-15
1316317712 Will Ryan Cassell Nurse Anesthetist, Certified Registered 1009 Lark St, Suite 2, Johnson City, TN 37604-8217 2015-09-29
1225450539 Dustin Paul Roberts Nurse Anesthetist, Certified Registered 1009 Lark St, Anesthesia Pain Consultants, Johnson City, TN 37604 2014-01-07
1003170754 Lisa W Green Nurse Anesthetist, Certified Registered 1009 Lark St, Suite 2, Johnson City, TN 37604-8217 2012-06-27
1245554054 Eliza H Sykes Nurse Anesthetist, Certified Registered 1009 Lark St, Suite 2, Johnson City, TN 37604-8217 2010-03-23
1528381159 Diana H Riffe Nurse Anesthetist, Certified Registered 1009 Lark St, Suite 2, Johnson City, TN 37604-8217 2010-03-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560707 Brant Logan Nickens Physical Therapist 809 Lamont St and Veterans Way, Johnson City, TN 37604 2020-08-26
1952911562 David Sandlin Hobbs Pharmacist Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 2020-08-07
1528688272 Whitney Marie Ward Physical Therapist Lamont Street and Veterans Way, Johnson City, TN 37604 2020-04-23
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1336629021 Medical Education Assistance Corporation Clinic/Center 820 W Market St, Johnson City, TN 37604 2018-08-21
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1174014450 Jerica Moore Specialist/Technologist 1041 Hamiltion Place Dr., Johnson City, TN 37604 2018-05-23
1053809442 Syed Ghazanfar Hasan Student in an Organized Health Care Education/Training Program Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 2018-05-01
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1821519364 Mahmoud El Iskandarani Internal Medicine 1084 W Oakland Avenue, 748, Johnson City, TN 37604 2017-07-06
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033358544 Marcos D Demoura Nurse Anesthetist, Certified Registered 818 Sunset Dr Ste 103, Johnson City, TN 37604-8310 2009-02-09
1750399127 Anesthesia and Pain Consultants,p.c. Nurse Anesthetist, Certified Registered 1009 Lark St Ste 2, Johnson City, TN 37604-8218 2006-08-03
1669493243 Margaret Rachel Weston Nurse Anesthetist, Certified Registered Corner of Sydney and Lamont, Johnson City, TN 37684 2006-07-21
1093795098 Ling-ling Shih Nurse Anesthetist, Certified Registered 156 Corliss Ave, Suite 107, Johnson City, NY 13790-2060 2006-01-18
1366444028 Ruben Fuentes Nurse Anesthetist, Certified Registered 1111 Sunset Dr, Suite 4, Johnson City, TN 37604-3615 2005-08-12
1811510993 Susan Cronier Nurse Anesthetist, Certified Registered 400 N State of Franklin Rd, Johnson City, TN 37604-6035 2020-05-22
1235760422 William James Brant Nurse Anesthetist, Certified Registered 400 N State of Franklin Rd, Johnson City, TN 37604-6035 2020-01-28
1235769605 Ryan T Pickett Nurse Anesthetist, Certified Registered 57 N Harrison St, Johnson City, NY 13790-1476 2020-01-24
1063970580 Todd M Kubesh Nurse Anesthetist, Certified Registered 57 N Harrison St, Johnson City, NY 13790-1476 2019-03-04
1922565001 Matthew S Fabian Nurse Anesthetist, Certified Registered 57 N Harrison St, Johnson City, NY 13790-1476 2019-02-26
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 37604

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Dataset Information

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.

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