RICHARD L PEMBRIDGE NP NPI 1508892688

NPI Information

NPI: 1508892688
Provider Name: RICHARD L PEMBRIDGE, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
2010 CHURCH ST
SUITE 201
NASHVILLE, TN
ZIP 37203
Phone: (615) 284-2951
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Richard L Pembridge, NP is an acute care nurse practitioner in Nashville, TN with 25 years of experience. Richard L Pembridge, NP NPI is 1508892688. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2010 CHURCH ST
SUITE 201
NASHVILLE, TN
ZIP 37203-012
Phone: (615) 284-2951
Fax: (615) 284-4285

The NPI 1508892688 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 6/23/2006 and was last updated on 10/20/2014.

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	163WD0400X	Registered Nurse	Diabetes Educator	APN0000010596	TENNESSEE	No
2	363L00000X	Nurse Practitioner		10596	TENNESSEE	No
3	363LA2100X	Nurse Practitioner	Acute Care	10596	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P01004443	OTHER	TENNESSEE	RR MEDICARE
2	103I500438	MEDICARE PIN	TENNESSEE
3	4313518	OTHER	TENNESSEE	BLUE CROSS-BLUE SHIELD
4	7100090190	MEDICAID	KENTUCKY
5	36448141	MEDICARE PIN	TENNESSEE
6	1515000	MEDICAID	TENNESSEE

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: 4/28/2024

NPI Synchronization or Removal

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