PHILLIP E PENDLETON (NPI# 1528058898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528058898 |
| Entity Type | Individual |
| Full Name | PHILLIP E PENDLETON |
| Credential | APRN |
| Practice Address |
275 The Crossroads Blvd Ste A Carmel CA 93923 |
| Mailing Address |
40 Ryan Ct Ste 100 Monterey CA 93940-7866 |
| Practice Telephone | 8317189701 |
| Practice Fax Number | 8318861538 |
| Mailing Telephone | 8317189701 |
| Mailing Fax Number | 8318861538 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2018-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 14610 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 71000962A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4984P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200379310 | 05 | |
| KY | 78017547 | 05 | |
| CA | MEDICARE PIN | CA200946 | 01 |
| Street Address |
275 THE CROSSROADS BLVD STE A |
| City | CARMEL |
| State | CA |
| Zip Code | 93923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215390935 | Matthew Neoh | Internal Medicine | 275 The Crossroads Blvd Ste A, Carmel, CA 93923-8685 | 2016-03-30 |
| 1932493913 | Murtuza Gunja | Psychiatry & Neurology | 275 The Crossroads Blvd Ste A, Carmel, CA 93923 | 2011-06-07 |
| 1114072782 | Michael S Cuenca | Internal Medicine | 275 The Crossroads Blvd Ste A, Carmel, CA 93923-8685 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114569316 | Jennifer Dee Johnson | Midwife | 38785 Palo Colorado Rd, Carmel, CA 93923 | 2019-10-09 |
| 1144719568 | Irvin Steven Siglin IIi | Massage Therapist | 27820 Dorris Drive, Suite 202, Carmel-by-the-sea, CA 93923 | 2018-05-02 |
| 1326407743 | Rick Hwang | Pharmacist | 6 The Crossroads, Carmel-by-the-sea, CA 93923 | 2016-02-12 |
| 1891104279 | Home Heart & Health | Custodial Care Facility | 10172 Oakwood Cir, Carmel, CA 93923 | 2014-08-11 |
| 1275822892 | Cheryl Trotter Robertson | Marriage & Family Therapist | 3785 Via Nona Marie, Suite #300, Carmel, CA 93923 | 2011-04-05 |
| 1174738447 | Kristine Belnap Jensen | Social Worker | 24753 Upper Trail, Carmel, CA 93923 | 2007-05-11 |
| 1154459204 | Francine Marie Michaels | Chiropractor | 26135 Carmel Rancho Blvd Ste F24, Carmel, CA 93923 | 2007-03-01 |
| 1407937139 | Carl Ramond Bergstrom | Internal Medicine | 26366 Carmel Rancho Lane, Ste H, Carmel, CA 93923 | 2006-10-18 |
| 1699861716 | Susan Victoria Jones | Marriage & Family Therapist | 3533 Lazarro Dr, Carmel, CA 93923 | 2006-10-05 |
| 1184739757 | Alejandro Francisco Centurion | Psychiatry & Neurology | 100 Clock Tower Place, Suite 225, Carmel, CA 93923 | 2006-08-21 |
| Find all providers in zip 93923 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821618521 | Angela Ni Yang | Nurse Practitioner | 12188b N Meridian St Ste 350a, Carmel, IN 46032-4900 | 2020-04-22 |
| 1679101356 | Kristy Mardis | Nurse Practitioner | 11725 Illinois St Ste 558, Carmel, IN 46032-3009 | 2020-03-30 |
| 1255972980 | Kecia Marie Schwarzkopf | Nurse Practitioner | 11725 Illinois St Ste 350, Carmel, IN 46032-3009 | 2019-10-03 |
| 1922550912 | Lisa Parker | Nurse Practitioner | 11911 N Meridian Street Suite 100, Carmel, IN 46032 | 2016-10-26 |
| 1336418003 | Denise M Rody | Nurse Practitioner | 755 West Carmel Dr., Ste. 101, Carmel, IN 46032-5875 | 2011-12-23 |
| 1649355538 | Carla M Erickson | Nurse Practitioner | 15229 Westfield Blvd, Carmel, IN 46032-8000 | 2006-10-26 |
| 1437118866 | Ilana Hurrle | Nurse Practitioner | 11495 N Pennsylvania St Ste 270, Carmel, IN 46032-5636 | 2006-03-23 |
| 1932714698 | Morgan S Hubble | Nurse Practitioner | 13655 Smokey Ridge Pl, Carmel, IN 46033-9265 | 2020-09-10 |
| 1215418355 | Elena Christine Tansy | Nurse Practitioner | 12188a N Meridian St Ste 375, Carmel, IN 46032-4433 | 2018-08-27 |
| 1134669724 | Sabrina Kucherov | Nurse Practitioner | 667 Stoneleigh Ave, Suite 111, Carmel, NY 10512-2454 | 2017-03-01 |
| Find all providers in CARMEL | ||||
Please comment or provide details below to improve the information on PHILLIP E PENDLETON.
| 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.