ASHLEY PENDERGRAFT (NPI# 1568948875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568948875 |
Entity Type | Individual |
Full Name | ASHLEY PENDERGRAFT |
Credential | APRN |
Practice Address |
130 Medical Park Pl Hot Springs AR 71901-8051 |
Mailing Address |
100 Cole Pl Hot Springs AR 71901-9278 |
Practice Telephone | 5016253400 |
Practice Fax Number | 5016253402 |
Mailing Telephone | 5016174092 |
Enumeration Date | 2018-07-19 |
Last Update Date | 2018-07-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
A005750 | AR | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1910 Malvern Ave, Hot Springs, AR 719017752 | 5013211000 |
Street Address |
130 MEDICAL PARK PL |
City | HOT SPRINGS |
State | AR |
Zip Code | 71901-8051 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124023056 | Gregory Allen St. John | Internal Medicine | 130 Medical Park Pl, Hot Springs, AR 71901-8051 | 2005-06-16 |
1154556025 | National Park Cardiology Services, LLC | Internal Medicine | 130 Medical Park Pl, Hot Springs, AR 71901-8051 | 2009-05-21 |
1942452883 | Tasha Binns | Nurse Practitioner | 130 Medical Park Pl, Hot Springs, AR 71901-8051 | 2008-10-22 |
1174552210 | Karol Palczynski | Family Medicine | 130 Medical Park Pl, Hot Springs, AR 71901-8051 | 2006-07-01 |
1083658132 | Timothy Eric Bowen | Internal Medicine | 130 Medical Park Pl, Hot Springs, AR 71901-8051 | 2006-06-16 |
1548249196 | Martin A Koehn | Family Medicine | 130 Medical Park Pl, Hot Springs, AR 71901-8051 | 2006-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346878303 | Hot Springs Ambulatory Surgery Center, LLC | Clinic/Center | 148 Sawtooth Oak St, Hot Springs, AR 71901 | 2020-03-27 |
1114558285 | Patrick Michael Westerman | Physical Therapist | 2122 Malvern Ave, Suite 5, Hot Springs, AR 71901 | 2020-01-28 |
1013416601 | Cheryl Kuhn | Counselor | 1820 Central Ave. Ste. B, Hot Springs, AR 71901 | 2018-02-08 |
1841711744 | Bonnie Lee | Case Manager/Care Coordinator | 240 Matthews Dr Apt A2, Hot Springs, AR 71901 | 2017-06-29 |
1699221457 | Belvedere Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 2600 Park Avenue, Hot Springs, AR 71901 | 2016-08-31 |
1639558398 | Jamie L. Summers Stacks, Pa | Counselor | 100 Ridgeway Ave, Suite 1, Hot Springs, AR 71901 | 2015-05-27 |
1831435452 | Wpm Community Pharmacies, LLC | Pharmacist | 105 Sawtooth Oak Street, Hot Springs, AR 71901 | 2012-12-31 |
1467759159 | Karissia Dawson | Counselor | 100 Ridgeway St Ste 5, Hot Springs, AR 71901 | 2011-02-16 |
1407172331 | Summit Dental, Inc | Dentist | 1421 Central Avenue, Hot Springs, AR 71901 | 2010-04-16 |
1609190826 | Mindy Gallegos | Nurse Practitioner | 102 Chippewa Ct, Hot Springs, AR 71901 | 2010-03-17 |
Find all providers in zip 71901 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811326861 | Christina Marie Gillenwater | Nurse Practitioner | 3604 Central Ave Ste 2, Hot Springs, AR 71913-6403 | 2013-11-09 |
1962409334 | Lisa D Harvey | Nurse Practitioner | 4419 N Highway 7, Hot Springs, AR 71909-9301 | 2005-06-30 |
1851947832 | Brandee Michelle Munn | Nurse Practitioner | 4332 Central Ave, Hot Springs, AR 71913-7437 | 2019-08-14 |
1528560513 | Rickey Edna Mack | Nurse Practitioner | 120 Adcock Rd Ste D, Hot Springs, AR 71913-7958 | 2018-03-06 |
1023535952 | Jennifer Mace | Nurse Practitioner | 120 Adcock Rd Ste D, Hot Springs, AR 71913-7958 | 2017-08-22 |
1437679164 | Kayla M Harrington | Nurse Practitioner | 1662 Higdon Ferry Rd Ste 140, Hot Springs, AR 71913-6980 | 2017-06-23 |
1124575147 | Christopher Jarvis | Nurse Practitioner | 1 Mercy Ln Ste 304, Hot Springs, AR 71913-6440 | 2016-09-07 |
1528309986 | Jessica C. Jones | Nurse Practitioner | 1 Mercy Ln, Suite 401, Hot Springs, AR 71913-6442 | 2013-03-11 |
1679583918 | Molly O Hollingsworth | Nurse Practitioner | 3633 Central Ave, Suite D, Hot Springs, AR 71913-6404 | 2006-08-09 |
1598775843 | Mitzi G Pruitt | Nurse Practitioner | 1629 Airport Rd, Suite B, Hot Springs, AR 71913-7951 | 2006-08-09 |
Find all providers in HOT SPRINGS |
City | HOT SPRINGS |
Zip Code | 71901 |
Please comment or provide details below to improve the information on ASHLEY PENDERGRAFT.
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.