Active NPI
Danielle Pender
- Licensed Practical Nurse
- New Haven, KY
National Provider Identifier
1760067235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 59386
- Practice address
- 10332 New Haven Rd
New Haven, KY 40051-5045 - Phone
- (860) 378-5306
- NPI assigned
- Mar 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 59386 | KY | Primary |
Addresses
Primary practice location
10332 New Haven Rd
New Haven, KY 40051-5045
Mailing address
805 N Whittington Pkwy
Louisville, KY 40222-7101
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | danielle.pender@pharmerica.com | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59386 | KY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1760067235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 N WHITTINGTON PKWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402227101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10332 NEW HAVEN RD",
"city": "NEW HAVEN",
"state": "KY",
"postal_code": "400515045",
"telephone_number": "860-378-5306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDER",
"first_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-16",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "KY",
"license": "59386",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "danielle.pender@pharmerica.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "10332 New Haven Rd",
"city": "New Haven",
"state": "KY",
"country_code": "US",
"postal_code": "400515045",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New Haven, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.