David Pemberton Jr.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

9529489 Issued in OH

Practice address

115 Carriage LN Apt 103
Canfield, OH 44406-1502

Phone

(404) 747-8523

NPI assigned

Jun 16, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1366010308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CARRIAGE LN APT 103",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CARRIAGE LN APT 103",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061502",
            "telephone_number": "404-747-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBERTON",
        "first_name": "DAVID",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "9529489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryn Lacey Patterson
• William Edward Patton, O.D.
• Rick K Peaslee, P.T.
• Carla Elizabeth Pecchio-Bowen
• Shane Lawrence Pelanda, CRNA
• Susan Marina Perdos, RN, NCTMB, LMT, CCHT
• Performance PT
• Elizabeth Perkins, LPC
• Kayleigh Perline
• Angelo Peroulakis

• Home Health Registered Nurse in Canfield, OH
• Providers in Canfield, OH by specialty
• Home Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.