Active NPI
Pauli E Pendleton, N.P.
- Adult Health Nurse Practitioner
- N Falmouth, MA
National Provider Identifier
1699799361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 99919
- Practice address
- 37 Edgerton Dr
N Falmouth, MA 02556-2821 - Phone
- (508) 563-2550
- Fax
- (508) 563-2570
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 99919 | MA | Primary |
Addresses
Primary practice location
37 Edgerton Dr
N Falmouth, MA 02556-2821
Mailing address
37 Edgerton Dr
N Falmouth, MA 02556-2821
Phone (508) 563-2550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0356832 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99919 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Affiliates of Cape Cod, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- NPI 1770534927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1699799361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 EDGERTON DR",
"city": "N FALMOUTH",
"state": "MA",
"postal_code": "025562821",
"telephone_number": "508-563-2550",
"fax_number": "508-563-2570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 EDGERTON DR",
"city": "N FALMOUTH",
"state": "MA",
"postal_code": "025562821",
"telephone_number": "508-563-2550",
"fax_number": "508-563-2570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDLETON",
"first_name": "PAULI",
"middle_name": "E",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "99919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0356832",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in N Falmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.