1. Home
  2. Directory
  3. New York
  4. Albany
  5. Licensed Practical Nurse
  6. NPI Profile

MILISSA PENDERGAST
NPI 1700607306
Licensed Practical Nurse in Albany, NY

Active since October 17, 2024
75 NEW SCOTLAND AVE UNIT D, ALBANY, NY 12208(518) 549-6894 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Milissa Pendergast NPPES

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

MILISSA PENDERGAST (NPI 1700607306) is an individual licensed practical nurse in Albany, New York, licensed in New York (281573-01) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1700607306
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMILISSA PENDERGAST
Location Address75 NEW SCOTLAND AVE UNIT DAlbany, NY 12208-3474
Mailing Address75 New Scotland Ave Unit DAlbany, NY 12208-3474 · (518) 549-6894
Phone(518) 549-6894
Sole ProprietorYes
Enumeration DateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1700607306 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 · 281573-01
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.

75 NEW SCOTLAND AVE UNIT D, Albany, NY 12208
Open in Google Maps ↗

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

What is Milissa Pendergast's NPI number?

The NPI number assigned to this healthcare provider is 1700607306, enumerated as an "individual" on October 17, 2024.

Where is the provider located?

The provider is located at 75 NEW SCOTLAND AVE UNIT D ALBANY, NY 12208 and the phone number is (518) 549-6894.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.