MR. JOE TAYLOR PENDERGRASS RN NPI 1124725692

NPI Information

  • NPI: 1124725692
  • Provider Name: MR. JOE TAYLOR PENDERGRASS, RN
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 804 BRISTOL CAVERNS HWY
    BRISTOL, TN
    ZIP 37620
  • Phone: (423) 534-6322

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NPI Details

MR. Joe Taylor Pendergrass, RN is a nurse anesthetist certified registered in Bristol, TN with 3 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. MR. Joe Taylor Pendergrass, RN NPI is 1124725692. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year:2023

The provider's business location address is:

804 BRISTOL CAVERNS HWY
BRISTOL, TN
ZIP 37620-456
Phone: (423) 534-6322

The enumeration date for this NPI number is 2/14/2023 and was last updated on 6/27/2024.

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
1163WC0200XRegistered NurseCritical Care Medicine222207TENNESSEENo
2367500000XNurse Anesthetist, Certified Registered36044TENNESSEEYes

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: 11/21/2025

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