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HENRY RANDALL PENDLETON N.P. NPI 1669810529


NPI Information

NPI: 1669810529
Provider Name: HENRY RANDALL PENDLETON, N.P.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: AFFINITY PHYSICIANS LLC.

PECOS Registration: Yes

Address:
1407 S COUNTY TRL
EAST GREENWICH, RI
ZIP 02818
Phone: (401) 886-4040
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Henry Randall Pendleton, N.P. is an adult health nurse practitioner in East Greenwich, RI with 16 years of experience. Henry Randall Pendleton, N.P. NPI is 1669810529. 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:

1407 S COUNTY TRL
EAST GREENWICH, RI
ZIP 02818-652
Phone: (401) 886-4040
Fax: (401) 886-4010

The NPI 1669810529 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 6/12/2013 and was last updated on 6/12/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthNPP37741RHODE ISLANDYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.