Active NPI
Anne-Marie Shelton Pender, RN
- Community Health Registered Nurse
- Tullahoma, TN
National Provider Identifier
1902014855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 5012678
- Practice address
- 615 Wilson Ave
Tullahoma, TN 37388-3264 - Phone
- (931) 455-9369
- NPI assigned
- May 21, 2007
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 5012678 | TN | Primary |
Addresses
Primary practice location
615 Wilson Ave
Tullahoma, TN 37388-3264
Mailing address
61 Gipson LN
Decherd, TN 37324-4057
Phone (931) 967-6885
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5012678 | TN | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902014855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 GIPSON LN",
"city": "DECHERD",
"state": "TN",
"postal_code": "373244057",
"telephone_number": "931-967-6885",
"fax_number": "931-962-3058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 WILSON AVE",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373883264",
"telephone_number": "931-455-9369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDER",
"first_name": "ANNE-MARIE",
"middle_name": "SHELTON",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "TN",
"license": "5012678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.