National Provider Identifier Database

PHILLIP E PENDLETON, APRN – NPI #1528058898
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.


Contact Information

PHILLIP E PENDLETON, APRN
275 THE CROSSROADS BLVD STE A
CARMEL BY THE SEA, CA93923
Phone: 831-718-9701
Fax: 831-886-1538
Website:
Specialty Taxonomy Code
* Nurse Practitioner 363L00000X
Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for PHILLIP E PENDLETON

NPI Number 1528058898
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 10/26/2005
Last updated 10/05/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 14610
  • IN License #: 71000962A
  • KY License #: 4984P
  • IN Medicaid: 200379310
  • KY Medicaid: 78017547
  • CA Other: CA200946 MEDICARE PIN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PHILLIP E PENDLETON, APRN

There are currently no reviews for PHILLIP E PENDLETON, APRN


NPIdb - Home
v2.201