Dre'a Pendleton, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R164843 Issued in MD

Practice address

2919 Arunah Ave
Baltimore, MD 21216-4602

Phone

(410) 572-7321

NPI assigned

Jul 13, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

• Ridgecroft Residence Inc

  • Assisted Living Facility
  • Baltimore, MD
  • NPI 1811869597
  NPD Authorized official

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499904000000",
    "number": "1497277172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 GOLDEN RING RD UNIT 9623",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212377605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 ARUNAH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212164602",
            "telephone_number": "410-572-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "DRE'A",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R164843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Pencek, MD
• Radostin Ruslanov Penchev
• Vesselin Ruslanov Penchev, MD, PHD
• Cheryl Pendergrass, M.S., C.G.C.
• Sharon Pendergrass, LCSW-C
• Tameara Pendleton
• Teira Marie Pendleton
• Ruchita Sudhir Pendse, MD
• Allison Peng
• Kenneth Peng

• Registered Nurse in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.