KIMBERLY C PENDLETON CRNA
NPI 1215920376
Nurse Anesthetist, Certified Registered in Johnson City, TN

Active since August 24, 2005
1009 LARK ST, SUITE 2, JOHNSON CITY, TN 37604(423) 283-0776(423) 283-0549 Get Directions Write a Review

NPPES record last updated: May 9, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly C Pendleton Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY C PENDLETON CRNA (NPI 1215920376) is an individual nurse anesthetist, certified registered in Johnson City, Tennessee, licensed in Tennessee (RN0000049997) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1215920376
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKIMBERLY C PENDLETONCredential: CRNA
Location Address1009 LARK ST, SUITE 2Johnson City, TN 37604-8217
Mailing AddressPo Box 3727Johnson City, TN 37602-3727 · (423) 283-0776 · Fax (423) 283-0549
Fax(423) 283-0549
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateMay 9, 2013
NPI 1215920376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in TN · RN0000049997
Definition

(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.

1009 LARK ST, Johnson City, TN 37604

Other Identifiers 2

Medicaid3602812TN
Medicare ID-Type Unspecified3602816TN

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
1009 LARK ST, ANESTHESIA PAIN CONSULTANTS
JOHNSON CITY, TN 37604
Anesthesiology
1009 LARK ST, SUITE 2
JOHNSON CITY, TN 37604
Nurse Anesthetist, Certified Registered
1009 LARK ST, SUITE 2
JOHNSON CITY, TN 37604
Nurse Anesthetist, Certified Registered
1009 LARK ST, SUITE 2
JOHNSON CITY, TN 37604
Nurse Anesthetist, Certified Registered
1009 LARK ST, SUITE 2
JOHNSON CITY, TN 37604
Nurse Anesthetist, Certified Registered
1009 LARK ST, SUITE 2
JOHNSON CITY, TN 37604
Nurse Anesthetist, Certified Registered
1009 LARK ST, SUITE 2
JOHNSON CITY, TN 37604
Nurse Anesthetist, Certified Registered
1009 LARK ST, SUITE 2
JOHNSON CITY, TN 37604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Pendleton's NPI number?

The NPI number for Kimberly Pendleton is 1215920376. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Kimberly Pendleton located?

Kimberly Pendleton practices at 1009 Lark St Suite 2, Johnson City, TN 37604. The listed phone number is (423) 283-0776.

What is Kimberly Pendleton's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Kimberly Pendleton was last updated on May 9, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.