Adreanna Megan Pendergraft

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3715 N Business Dr Ste 104
Fayetteville, AR 72703-5287

Phone

(870) 280-8776

NPI assigned

May 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Adreanna Megan Garner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1417445883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 E JOYCE BLVD STE 201",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035285",
            "telephone_number": "479-575-9471",
            "fax_number": "479-587-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 N BUSINESS DR STE 104",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035287",
            "telephone_number": "870-280-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDERGRAFT",
        "first_name": "ADREANNA",
        "middle_name": "MEGAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADREANNA",
            "last_name": "GARNER",
            "middle_name": "MEGAN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sean Pelzer, PT, DPT
• Brittney Pember, PMHNP
• Margaret-Maria Pemu, LPC
• Durinda Pena, A.P.N.
• Aja R Pence
• Jennifer Johanna Penne, APN
• Christina R Pennington
• Ivelisse Pennington, MHPP
• Matthew Walter Penquite
• Hannah Penzo, APRN

• Case Manager/Care Coordinator in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.