MRS. JOY SUSAN PENDERGRASS (NPI# 1639561160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639561160 |
| Entity Type | Individual |
| Full Name | MRS. JOY SUSAN PENDERGRASS |
| Credential | FNP,BC |
| Practice Address |
536 Spanish Way W Fernandina Beach FL 32034-9244 |
| Practice Telephone | 9043109468 |
| Mailing Telephone | 9043109468 |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9364981 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
536 SPANISH WAY W |
| City | FERNANDINA BEACH |
| State | FL |
| Zip Code | 32034-9244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
| 1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
| 1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
| 1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
| 1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
| 1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
| 1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
| 1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
| 1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
| 1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
| Find all providers in zip 32034 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649886383 | Olukemi Adekunle | Nurse Practitioner | 97178 Harbor Concourse Cir, Fernandina Beach, FL 32034-3873 | 2020-09-18 |
| 1164940904 | Jennifer C Little | Nurse Practitioner | 23471 Flora Parke Blvd, Fernandina Beach, FL 32034-8172 | 2017-08-31 |
| 1659898021 | Matthew A Thornton | Nurse Practitioner | 1340 S 18th St Ste 204, Fernandina Beach, FL 32034-4733 | 2017-08-27 |
| 1194081521 | Cheryl Smith O'donoghue | Nurse Practitioner | 96279 Brady Point Rd., Fernandina Beach, FL 32034 | 2012-04-10 |
| 1689111304 | Jennifer Harper | Nurse Practitioner | 1250 S 18th St Ste 202, Fernandina Beach, FL 32034-4729 | 2017-01-20 |
| 1336542430 | Kimberly Bibb | Nurse Practitioner | 1888 S 14th St, Credentialing Department, Fernandina Beach, FL 32034-3054 | 2014-10-02 |
| 1649558750 | Deanna Elaine Ingram | Nurse Practitioner | 96279 Brady Point Rd, Fernandina Beach, FL 32034 | 2011-07-25 |
| 1861673733 | Carol L Gruber | Nurse Practitioner | 1250 S 18th St Ste 202, Fernandina Beach, FL 32034-4729 | 2007-11-20 |
| 1134232820 | Catherine Margaret Greenblum | Nurse Practitioner | 1411 S 14th St, Suite B, Fernandina Beach, FL 32034-3031 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588413 | Arnol Miguel Chacon Chacon | Nurse Practitioner | 1001 Rich Dr, Palm Springs, FL 33406-6508 | 2020-11-08 |
| 1427659192 | Monica Teresita Vengoechea Leon | Nurse Practitioner | 68 Se 6th St Apt 4104, Miami, FL 33131-3519 | 2020-11-08 |
| 1740881416 | Donald Douglass Jamieson | Nurse Practitioner | 17929 Hunting Bow Cir # Na, Lutz, FL 33558-5378 | 2020-11-08 |
| 1609477348 | Danielle Schmidt | Nurse Practitioner | 7803 34th Ct E, Sarasota, FL 34243-2867 | 2020-11-07 |
| 1083215735 | Ahecio Alexander Labrada Izquierdo | Nurse Practitioner | 624 Sw 132nd Ter, Davie, FL 33325-3242 | 2020-11-07 |
| 1114528874 | Wandering Michelle, LLC | Nurse Practitioner | 526 Wekiva Bluff St, Apopka, FL 32712-2776 | 2020-11-07 |
| 1508467325 | Digna Maria Espinosa | Nurse Practitioner | 13655 Sw 2nd St, Miami, FL 33184-1049 | 2020-11-06 |
| 1265033005 | Lourdes Milagros Rivera | Nurse Practitioner | 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 | 2020-11-06 |
| 1023619913 | Ana Maria Guerra Garcia | Nurse Practitioner | 802 Windsor Cir, Brandon, FL 33510-2927 | 2020-11-05 |
| 1891396818 | Gilberto Fernandez Sr. | Nurse Practitioner | 8021 Nw 166th St, Miami Lakes, FL 33016-3421 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
Please comment or provide details below to improve the information on MRS. JOY SUSAN PENDERGRASS.
| 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.