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SHERRILL JAVON PENDLETON LPN
NPI 1366288797
Licensed Practical Nurse in Mastic, NY

Active since July 04, 2024
118 MASTIC BLVD, MASTIC, NY 11950(631) 384-7326 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2024, Jul 4, 2024 (2 updates tracked since 2024).

About Sherrill Javon Pendleton Lpn NPPES

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

SHERRILL JAVON PENDLETON LPN (NPI 1366288797) is an individual licensed practical nurse in Mastic, New York, licensed in New York (350322) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1366288797
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHERRILL JAVON PENDLETONCredential: LPN
Location Address118 MASTIC BLVDMastic, NY 11950-3522
Mailing Address118 Mastic BlvdMastic, NY 11950-3522 · (631) 384-7326
Phone(631) 384-7326
Sole ProprietorYes
Enumeration DateJuly 4, 2024
Last NPPES UpdateOctober 30, 20242 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
✔ NPI 1366288797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 350322
Definition
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.
118 MASTIC BLVD, Mastic, NY 11950
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Sherrill Pendleton's NPI number?

The NPI number for Sherrill Pendleton is 1366288797. It was assigned to this individual provider in the NPPES registry on July 4, 2024.

Where is Sherrill Pendleton located?

Sherrill Pendleton practices at 118 Mastic Blvd, Mastic, NY 11950. The listed phone number is (631) 384-7326.

What is Sherrill Pendleton's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Sherrill Pendleton was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.