HENRY RANDALL PENDLETON JR. (NPI# 1669810529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669810529 |
| Entity Type | Individual |
| Full Name | HENRY RANDALL PENDLETON JR. |
| Credential | N.P. |
| Practice Address |
1407 S County Trl East Greenwich RI 02818-1652 |
| Mailing Address |
33 Staniford St Providence RI 02905-3105 |
| Practice Telephone | 4018864040 |
| Practice Fax Number | 4018864010 |
| Mailing Telephone | 4014218800 |
| Mailing Fax Number | 4012736510 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NPP37741 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1407 S COUNTY TRL |
| City | EAST GREENWICH |
| State | RI |
| Zip Code | 02818-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276494 | Pedro Mariano Barros | Internal Medicine | 1407 S County Trl, Bldg #4 Suite 410, East Greenwich, RI 02818-1652 | 2005-06-27 |
| 1831579911 | Jennifer L Grande | Advanced Practice Midwife | 1407 S County Trl, East Greenwich, RI 02818-1652 | 2015-06-04 |
| 1154734580 | Your Health | Internal Medicine | 1407 S County Trl, Unit 422, East Greenwich, RI 02818-1652 | 2014-06-03 |
| 1700178290 | Karen Eckardt Noyes | Internal Medicine | 1407 S County Trl, Suite 432, East Greenwich, RI 02818-1652 | 2011-05-03 |
| 1942503875 | Sarah West Allen | Advanced Practice Midwife | 1407 S County Trl, Bldg 4- Ste 420, East Greenwich, RI 02818-1652 | 2010-12-15 |
| 1790928422 | Pedro Barros, M.d., Inc | Internal Medicine | 1407 S County Trl, Building 4 Suite 410, East Greenwich, RI 02818-1652 | 2009-04-10 |
| 1437235983 | Angela Fishman | Internal Medicine | 1407 S County Trl, Building 4 Suite 410, East Greenwich, RI 02818-5079 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875489 | Connor Michael Hagerty | Dentist | 61 Cedar Ave, #5, East Greenwich, RI 02818 | 2020-06-16 |
| 1467086777 | Kimberly Olson | Social Worker | 4372 Post Road, East Greenwich, RI 02818 | 2020-02-25 |
| 1154977106 | Pappas Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 1000 Division Road, Suite 100, East Greenwich, RI 02818 | 2019-08-15 |
| 1184270464 | Pappas Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 5805 Post Road, Unit 1, East Greenwich, RI 02818 | 2019-08-13 |
| 1003390428 | Liana Marie Waybright | Dietitian, Registered | East Greenwich Specialty Clinic, 1454 South County Trail, East Greenwich, RI 02818 | 2018-09-21 |
| 1053805614 | Danielle Moreau | Physical Therapist | 5750 Post Rd Ste 2a, East Greenwich, RI 02818 | 2018-06-18 |
| 1508385345 | Rhode Island Limb Co Inc | Physical Therapist | 63 Cedar Ave Unit 12, East Greenwich, RI 02818 | 2017-09-13 |
| 1407202963 | Doris Major Howie | Registered Nurse | 4512 Post Rd., East Greenwich, RI 02818 | 2016-05-13 |
| 1851648760 | Christi L Saurette | Social Worker | 3285 South County Trail, Suite 2b, East Greenwich, RI 02818 | 2012-08-09 |
| 1811257934 | Elizabeth Decker | Internal Medicine | 1407 S County Trl Ste 410, East Greenwich, RI 02818 | 2012-05-23 |
| Find all providers in zip 02818 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568555183 | Silver Spring Health Care Management, Inc. | Nurse Practitioner | 3461 South County Trail, East Greenwich, RI 02818-3999 | 2006-10-02 |
| 1477079291 | Kathleen Ann Rassler | Nurse Practitioner | 3461 S County Trl Ste 303, East Greenwich, RI 02818-1463 | 2017-08-15 |
| 1689110058 | Julia Isabelle Wood | Nurse Practitioner | 1598 S County Trl Ste 100, East Greenwich, RI 02818-1627 | 2017-01-10 |
| 1376874057 | Patrice Mary French | Nurse Practitioner | 1050 Main St, Suite 18, East Greenwich, RI 02818-3161 | 2010-01-20 |
| 1366647364 | Kathleen Wall | Nurse Practitioner | 1351 S County Trl, East Greenwich, RI 02818-5079 | 2007-06-19 |
| 1689699175 | Patricia Anne Martino | Nurse Practitioner | 1351 S County Trl, Suite 115, East Greenwich, RI 02818-5079 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627476 | Kimberly Jill Enos | Nurse Practitioner | 825 Chalkstone Ave # Prior207, Providence, RI 02908-4728 | 2020-10-19 |
| 1689290751 | Afya Services LLC | Nurse Practitioner | 61 Leah St, Providence, RI 02908-5130 | 2020-06-24 |
| 1275159501 | Valerie Marie Almeida Monroe | Nurse Practitioner | 60 Valley St Ste 104, Providence, RI 02909-7418 | 2020-06-23 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1326557521 | Diana Suk Wah Lam | Nurse Practitioner | 34 S Bennett Dr, Johnston, RI 02919-6323 | 2017-09-20 |
| 1841695988 | Gail Maureen Mosher | Nurse Practitioner | 62 Friendship St, Newport, RI 02840-2251 | 2014-10-31 |
| 1104134113 | Joann M Moore | Nurse Practitioner | 1681 Cranston St Ste D, Cranston, RI 02920-5000 | 2010-09-24 |
| 1104855386 | Kathy J Cookson | Nurse Practitioner | 255 Promenade St, Apt. 348, Providence, RI 02908-5746 | 2006-07-01 |
| 1164474813 | Michelle Lynn Rowe | Nurse Practitioner | 150 Chestnut St, Providence, RI 02903-4645 | 2006-05-17 |
| 1508817545 | Wanda K Pothier | Nurse Practitioner | 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 | 2006-05-15 |
| Find all providers with the same taxonomy | ||||
| City | EAST GREENWICH |
| Zip Code | 02818 |
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| 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.