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Export Provider Record NPI 1053640698
Michael L PendletonAPRN
Active
NPI Number1053640698
NPI TypeNPI-1 Individual
SpecialtyNurse Practitioner, Family
Provider Details
NPI1053640698
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2009-12-10
Last Updated2023-10-09
Mailing AddressPo Box 906
Glasgow, KY 42142-0906
United States
Phone: (270) 678-6333 | Fax: (270) 678-7333
📍 View Map
Primary Practice Address1412 N Race St
Glasgow, KY 42141-3473
United States
Phone: (270) 629-6333 | Fax: (270) 629-6334
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363LF0000X – Nurse Practitioner, FamilyKY6291P
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About NPI 1053640698

Michael L Pendleton APRN is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053640698. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Glasgow, KY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-12-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053640698?

NPI 1053640698 belongs to Michael L Pendleton APRN, a Nurse Practitioner, Family in Glasgow, KY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053640698 active?

The current status of NPI 1053640698 in the NPPES registry is Active. The record was last updated on 2023-10-09.

What specialty is NPI 1053640698?

NPI 1053640698 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053640698?

You can verify NPI 1053640698 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053640698?

The primary practice address on file for NPI 1053640698 is 1412 N Race St, Glasgow, KY 42141-3473. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053640698 issued?

NPI 1053640698 was first issued (enumerated) on 2009-12-10. The NPPES record was last updated on 2023-10-09.

Practice Location Map

Michael L Pendleton is located at 1412 N Race St, Glasgow, KY. Use the map below to find directions or verify the practice location.

📍 1412 N Race St, Glasgow, KY 42141-3473  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Michael L Pendleton. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1053640698. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse Practitioner, Family6291PKY
Data Verified from CMS NPPES Last synced: 2026-06-15 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162