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KEVIN PENDLEBURY CDE
NPI 1528209129
Registered Nurse - Diabetes Educator in Fort Hall, ID

Active since March 12, 2009
MISSION RD, FORT HALL, ID 83203(208) 238-2400(208) 238-5462 Get Directions Write a Review

NPPES record last updated: March 12, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Pendlebury Cde NPPES

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

KEVIN PENDLEBURY CDE (NPI 1528209129) is an individual diabetes educator provider in Fort Hall, Idaho, licensed in Illinois (2061-0302) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1528209129
Entity TypeIndividualMale
Primary Taxonomy163WD0400X
Provider Legal NameKEVIN PENDLEBURYCredential: CDE
Location AddressMISSION RDFort Hall, ID 83203-0306
Mailing AddressPo Box 306Fort Hall, ID 83203-0306 · (208) 238-2400 · Fax (208) 238-5462
Phone(208) 238-2400
Fax(208) 238-5462
Sole ProprietorNo
Enumeration DateMarch 12, 2009
✔ NPI 1528209129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License✔ Licensed in IL · 2061-0302
Also ListedRegistered NurseTaxonomy 163W00000X · License N31309 (ID)
MISSION RD, Fort Hall, ID 83203
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Other Identifiers 1

Medicaid003399100ID

Other Providers at the Same Location NPPES 6

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

ERIN M BROWNLEY
Nutritionist
MISSION RD
FORT HALL, ID 83203
Bingham County (208) 238-2400
FORT HALL INDIAN HEALTH SERVICES
Clinic/Center (Public Health, Federal)
MISSION RD
FORT HALL, ID 83203
Bingham County (208) 238-2400
MS. HOLLY J MCGRATH
Pharmacist
MISSION RD, BOX 717
FORT HALL, ID 83203
Bingham County (208) 238-5408
MRS. DEEANNE M MARSHALL RN
Registered Nurse
MISSION RD
FORT HALL, ID 83203
Bingham County (208) 238-5427
MRS. CATHERINE TAMMY SALISBURY R.D.H.
Dental Hygienist
MISSION RD
FORT HALL, ID 83203
Bingham County (208) 238-5446
CHRISTOPHER ANDREW NIELD O.D.
Optometrist
MISSION RD
FORT HALL, ID 83203
Bingham County (208) 238-5441

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 Kevin Pendlebury's NPI number?

The NPI number for Kevin Pendlebury is 1528209129. It was assigned to this individual provider in the NPPES registry on March 12, 2009.

Where is Kevin Pendlebury located?

Kevin Pendlebury practices at Mission Rd, Fort Hall, ID 83203. The listed phone number is (208) 238-2400.

What is Kevin Pendlebury's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Kevin Pendlebury was last updated on March 12, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.