Monique Pendleton

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F0215192 Issued in MS

Practice address

4635 Highway 80 E
Pearl, MS 39208-4226

Phone

(601) 502-3009

NPI assigned

Mar 2, 2015

Last updated

Apr 26, 2023By the provider in NPPES

Sex

Female

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: monique.pendleton@c8hcl-ms.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cycle 8 Health Care, LLC

  • Clinic/Center
  • Jackson, MS
  • NPI 1700449329
  Authorized official Same address or phone
• Mallory Community Health

  dba Dr. Arenia C. Mallory Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lexington, MS
  • NPI 1740308873
  NPD (past)

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1497147318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 BAILEY AVE STE 7",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392136905",
            "telephone_number": "601-502-3009",
            "fax_number": "769-251-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 HIGHWAY 80 E",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392084226",
            "telephone_number": "601-502-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "F0215192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennetta Delorise Parker, FNP
• Ventasha S Parker
• Pearl Family Clinic
• Pearl River Dental, PLLC
• Pearls Children's Clinic PLLC (EmPower Childrens Clinic)
• Amanda Perry
• Hoa Pham, PHARM.D
• Barry Wade Phillips
• Missy Giachelli Phillips
• Sydney Erin Phillips

• Family Nurse Practitioner in Pearl, MS
• Providers in Pearl, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.