Pendleton Family Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PENDLETON FAMILY CARE

Practice address

1412 N Race St
Glasgow, KY 42141-3473

Phone

(270) 629-6333

NPI assigned

Aug 27, 2015

Organization subpart

No

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

Authorized official

Name

Michael L Pendleton Sr., APRNNPI 1053640698

Title

Owner / Member

Phone

(270) 629-6333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael L Pendleton Sr., APRN

  • Family Nurse Practitioner
  • Glasgow, KY
  • NPI 1053640698
  Medicare reassignment Care Compare group Authorized official
• Kayla Beth Sullivan

  • Family Nurse Practitioner
  • Glasgow, KY
  • NPI 1891650115
  Medicare reassignment Care Compare group NPD
• Courtney Nichole Davis, APRN

  • Family Nurse Practitioner
  • Glasgow, KY
  • NPI 1790406528
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1417324252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 906",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421420906",
            "telephone_number": "270-678-6333",
            "fax_number": "270-678-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413473",
            "telephone_number": "270-629-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDLETON FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "PENDLETON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / MEMBER",
        "authorized_official_telephone_number": "270-629-6333",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Peden, PHARM.D.
• Allison Lee Pedigo, DNP, APRN
• Stephanie Pegg
• Robert F Pelham, D.C.
• Dillon Pender, MD
• Michael L Pendleton Sr., APRN
• Teresa A Perkins, APRN
• Muriel Perry
• Gilman P. Peterson Jr., M.D.
• Pharmerica Drug Systems LLC

• Family Nurse Practitioner in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.