Stacey Lyles Pendry

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9700 Issued in NC

Practice address

714 Green Valley Rd
Greensboro, NC 27408-7018

Phone

(336) 370-2323

NPI assigned

Sep 9, 2011

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

Other names 1

• Ms. Stacey Nicole Lyles Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1811279490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BROWNING RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104752",
            "telephone_number": "336-870-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 GREEN VALLEY RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087018",
            "telephone_number": "336-370-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDRY",
        "first_name": "STACEY",
        "middle_name": "LYLES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "9700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "LYLES",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Keith G Pemberton I, MSW, P-LCSW
• Madelyn Pemberton
• Ellaina Pena
• Carrie Penchuk, SLP
• Ashley Nicole Pendleton
• Penni'S Place Youth Home
• Lindsay Paige Penninger, PA
• Vikram Reddy Penumalli, MD
• People Helping People Homecare LLC
• People'S Choice Transportation

• Speech-Language Pathologist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.