Dianna Marie Pendleton, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5014193 Issued in NC

Practice address

331 S Broadway St
Forest City, NC 28043-3648

Phone

(828) 247-0366

Fax

(828) 247-1870

NPI assigned

Feb 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Family Resources of Rutherford County, Inc

  • Child Abuse Pediatrics Physician
  • Forest City, NC
  • NPI 1487244943
  NPD

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1578156782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1619",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280431619",
            "telephone_number": "828-247-0366",
            "fax_number": "828-247-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 S BROADWAY ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280433648",
            "telephone_number": "828-247-0366",
            "fax_number": "828-247-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "DIANNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "126357",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487244943",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Kathleen Pacheco, M.S. CF-SLP
• Pain Management Plus PLLC
• Natalia Sofia Pardo Toro
• Ronda Engle Patton, FNP-C
• Peace in the City
• Kapri Pierce, MS, CF-SLP
• Janet Powell, FNP
• Kathryn Blair Pruett, PHARMD
• Quality Home Medical Inc.
• Quality Mental Health

• Family Nurse Practitioner in Forest City, NC
• Providers in Forest City, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.