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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CHANCELER PEMBERTON
NPI 1760310163
Licensed Practical Nurse in Lake Ozark, MO

Active since May 13, 2026
130 CALO LN, LAKE OZARK, MO 65049(573) 745-5253 Get Directions Write a Review

NPPES record added: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chanceler Pemberton NPPES

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

CHANCELER PEMBERTON (NPI 1760310163) is an individual licensed practical nurse in Lake Ozark, Missouri, licensed in Missouri (2023011514) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1760310163
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCHANCELER PEMBERTON
Location Address130 CALO LNLake Ozark, MO 65049-9208
Mailing Address130 Calo LnLake Ozark, MO 65049-9208 · (573) 745-5253
Phone(573) 745-5253
Sole ProprietorNo
Enumeration DateMay 13, 2026
NPPES CertifiedMay 13, 2026
✔ NPI 1760310163 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 MO · 2023011514
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.
130 CALO LN, Lake Ozark, MO 65049
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Other Identifiers 1

Other2023011514MO · License

Other Providers at the Same Location NPPES 20

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

SAMANTHA MARIAH BRUSH
Marriage & Family Therapist
130 CALO LN
LAKE OZARK, MO 65049
Miller County (573) 745-5253
CHANGE ACADEMY AT LAKE OF THE OZARKS
Residential Treatment Facility, Emotionally Disturbed Children
130 CALO LN
LAKE OZARK, MO 65049
Miller County (573) 365-2221
ALYSSA JAYNE BONNEY
Counselor (Mental Health)
130 CALO LN
LAKE OZARK, MO 65049
Miller County (573) 745-5253
CHANGE ACADEMY LAKE OF THE OZARKS
Residential Treatment Facility, Emotionally Disturbed Children
130 CALO LN
LAKE OZARK, MO 65049
Miller County (573) 200-1605
ERIC SWISHER MS, CIT
Counselor (Mental Health)
130 CALO LN
LAKE OZARK, MO 65049
Miller County (573) 434-2402
MS. HEIDI STANFIELD P.L.P.C.
Counselor (Professional)
130 CALO LN
LAKE OZARK, MO 65049
Miller County (573) 746-7375
KATRINA LYNN GOLDSBERRY RN
Registered Nurse
130 CALO LN
LAKE OZARK, MO 65049
Miller County (573) 746-7361
JILL MARIE HOLLANDSWORTH MO LMFT 2026026427
Marriage & Family Therapist
130 CALO LN
LAKE OZARK, MO 65049
Miller County (573) 273-8193

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 Chanceler Pemberton's NPI number?

The NPI number for Chanceler Pemberton is 1760310163. It was assigned to this individual provider in the NPPES registry on May 13, 2026.

Where is Chanceler Pemberton located?

Chanceler Pemberton practices at 130 Calo Ln, Lake Ozark, MO 65049. The listed phone number is (573) 745-5253.

What is Chanceler Pemberton'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 Chanceler Pemberton was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.