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JUSTEENA MELLINE PENDARVIS
NPI 1770459364
Licensed Practical Nurse in Oklahoma City, OK

Active since October 13, 2025
1613 SE 66TH ST, OKLAHOMA CITY, OK 73149(405) 616-3366 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justeena Melline Pendarvis NPPES

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

JUSTEENA MELLINE PENDARVIS (NPI 1770459364) is an individual licensed practical nurse in Oklahoma City, Oklahoma, licensed in Oklahoma (205767) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1770459364
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJUSTEENA MELLINE PENDARVIS
Location Address1613 SE 66TH STOklahoma City, OK 73149-5203
Mailing Address19020 Se 29th StHarrah, OK 73045-6340 · (580) 510-9121
Phone(405) 616-3366
Sole ProprietorNo
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1770459364 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 OK · 205767
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.
1613 SE 66TH ST, Oklahoma City, OK 73149
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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.

CHERYL NANETTE SANDERS MSW
Case Manager/Care Coordinator
1613 SE 66TH ST
OKLAHOMA CITY, OK 73149
Oklahoma County (405) 616-3366
JESSE LOREN GALL LPC-C
Counselor
1613 SE 66TH ST
OKLAHOMA CITY, OK 73149
Oklahoma County (918) 619-9094
MRS. RAECHYL FULLER
Registered Nurse
1613 SE 66TH ST
OKLAHOMA CITY, OK 73149
Oklahoma County (405) 616-3366
LAUREN BROOKE MAY
Case Manager/Care Coordinator
1613 SE 66TH ST
OKLAHOMA CITY, OK 73149
Oklahoma County (405) 616-3366
RANDI N ANDERSON
Case Manager/Care Coordinator
1613 SE 66TH ST
OKLAHOMA CITY, OK 73149
Oklahoma County (405) 616-3366
CHRISTINA POWELL
Counselor (Addiction (Substance Use Disorder))
1613 SE 66TH ST
OKLAHOMA CITY, OK 73149
Oklahoma County (405) 616-3366
LICHELLE MYNEKIA BLACK LPN
Licensed Practical Nurse
1613 SE 66TH ST
OKLAHOMA CITY, OK 73149
Oklahoma County (405) 616-3366
SAMANTHA JO JACKSON LPN
Licensed Practical Nurse
1613 SE 66TH ST
OKLAHOMA CITY, OK 73149
Oklahoma County (405) 616-3366

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 Justeena Pendarvis's NPI number?

The NPI number for Justeena Pendarvis is 1770459364. It was assigned to this individual provider in the NPPES registry on October 13, 2025.

Where is Justeena Pendarvis located?

Justeena Pendarvis practices at 1613 SE 66th St, Oklahoma City, OK 73149. The listed phone number is (405) 616-3366.

What is Justeena Pendarvis'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 Justeena Pendarvis was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.