SHERRILL JAVON PENDLETON LPN NPI 1366288797

NPI Information

  • NPI: 1366288797
  • Provider Name: SHERRILL JAVON PENDLETON, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 118 MASTIC BLVD
    MASTIC, NY
    ZIP 11950
  • Phone: (631) 384-7326

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NPI Details

Sherrill Javon Pendleton, LPN is a licensed practical nurse in Mastic, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Sherrill Javon Pendleton, LPN NPI is 1366288797. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

118 MASTIC BLVD
MASTIC, NY
ZIP 11950-522
Phone: (631) 384-7326

The NPI 1366288797 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 7/4/2024 and was last updated on 10/30/2024.

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
1164W00000XLicensed Practical Nurse350322NEW YORKYes

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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