Miranda Leann Pendergrass

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

110441648 Issued in FL

Practice address

37 Ryant Blvd
Sebring, FL 33870-8075

Phone

(863) 402-2229

NPI assigned

Apr 1, 2026

Last updated

Aug 20, 2026By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1649111006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 RYANT BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338708075",
            "telephone_number": "863-402-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 RYANT BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338708075",
            "telephone_number": "863-402-2229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5175 Sweetwater Rd",
            "address_purpose": "LOCATION",
            "city": "Zolfo Springs",
            "state": "FL",
            "postal_code": "338902738",
            "country_code": "US",
            "telephone_number": "863-781-3450 x13450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDERGRASS",
        "first_name": "MIRANDA",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "110441648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia W. Brown, PHD, Arnp, LLC
• Arthur S. Patterson, PHD
• Paul Ebanks, DPM, PA
• Sierra Melissa Pautke, APRN
• Ryan Pauze, P.T.
• Kelly Marie Pepper, D.C.
• Larry John Pepper Jr., D.C.
• Larry John Pepper III, DC
• Annelis Perez Acosta
• Ibia Perez Bell

• Women's Health Nurse Practitioner in Sebring, FL
• Providers in Sebring, FL by specialty
• Women's Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.