KATELEEN WHALEY PENDERGRASS RN NPI 1184214124

NPI Information

NPI: 1184214124
Provider Name: KATELEEN WHALEY PENDERGRASS, RN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
302 POINT NORTH PL
DALTON, GA
ZIP 30720
Phone: (706) 272-4127
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Kateleen Whaley Pendergrass, RN is a family nurse practitioner in Dalton, GA with 2 years of experience. Kateleen Whaley Pendergrass, RN NPI is 1184214124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

302 POINT NORTH PL
DALTON, GA
ZIP 30720-644
Phone: (706) 272-4127
Fax: (706) 279-3969

The NPI 1184214124 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/23/2021 and was last updated on 1/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN259658	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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