MRS. KATHLEEN BYRNE PENDERGAST (NPI# 1093803421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093803421 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN BYRNE PENDERGAST |
| Credential | PNP |
| Practice Address |
500 Webster Ave Rochester NY 14609-4732 |
| Practice Telephone | 5854829290 |
| Practice Fax Number | 5853245812 |
| Mailing Telephone | 5854829290 |
| Mailing Fax Number | 5853245812 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
381846 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750634358 | Kathleen Marie Pendergast | Counselor | 2001 W North Ave, Chicago, IL 60647 | 2012-10-19 |
| Street Address |
500 WEBSTER AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14609-4732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255428959 | Martha Bottoni | Nurse Practitioner | 500 Webster Ave, Rochester, NY 14609-4732 | 2006-10-06 |
| 1467950881 | Mary Bringley | Licensed Practical Nurse | 500 Webster Ave, Rochester, NY 14609-4732 | 2018-01-31 |
| 1659890440 | Kristie Duong | Speech-Language Pathologist | 500 Webster Ave, Rochester, NY 14609-4732 | 2017-09-13 |
| 1053857870 | Gwendolyn Fisher | Social Worker | 500 Webster Ave, Rochester, NY 14609-4732 | 2017-01-18 |
| 1245691419 | Marketa Lanos | Student in an Organized Health Care Education/Training Program | 500 Webster Ave, Rochester, NY 14609-4732 | 2016-03-15 |
| 1245667971 | Janice Louise Booth | Speech-Language Pathologist | 500 Webster Ave, Rochester, NY 14609-4732 | 2013-09-26 |
| 1972889699 | John Edmond Carr I | Social Worker | 500 Webster Ave, Rochester, NY 14609-4732 | 2011-10-26 |
| 1083999189 | Christine L Hashim | Speech-Language Pathologist | 500 Webster Ave, Rochester, NY 14609-4732 | 2011-10-20 |
| 1558645234 | Kelly S Walsh | Speech-Language Pathologist | 500 Webster Ave, Rochester, NY 14609-4732 | 2011-09-29 |
| 1528340742 | Margaret M. Murty-jackson | Speech-Language Pathologist | 500 Webster Ave, Rochester, NY 14609-4732 | 2011-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928828 | Aundrea Camille Williams | Licensed Practical Nurse | 99 Meaodw Circle, Rochester, NY 14609 | 2020-10-06 |
| 1043836869 | Sharon Ann Reilly | Registered Nurse | 910 North Goodman Street, Suite 1, Rochester, NY 14609 | 2020-06-17 |
| 1235655671 | Tameka Shaunte Parker | Licensed Practical Nurse | 35 Village Way, Rochester, NY 14609 | 2017-08-17 |
| 1851817472 | Mary Ann Dukes | Registered Nurse | 75 Yates Street, Rochester, NY 14609 | 2017-08-15 |
| 1023533064 | Fernando Caumont | Urology | 2615 Culver Rd Ste 100, Rochester, NY 14609 | 2017-08-10 |
| 1083061162 | Teyanee Latavia Harewood | Registered Nurse | 418 Hayward Ave, Rochester, NY 14609 | 2016-05-19 |
| 1164853891 | Sukhminder Kaur Sahansra | Internal Medicine | 335 North Park Drive, Elderone, Rochester, NY 14609 | 2013-12-05 |
| 1952749863 | Nada Jadrovska | Registered Nurse | 79 Eagle Rock Dr, Rochester, NY 14609 | 2013-06-13 |
| 1457602930 | Lynnetta Maria Hollomon | Licensed Practical Nurse | 827 Edgecreek Trail, Rochester, NY 14609 | 2012-09-25 |
| 1568711596 | Anthony L. Jordan Health Corporation | Clinic/Center | 151 Parsells Ave, Jordan Health At Community Place, Rochester, NY 14609 | 2012-09-06 |
| Find all providers in zip 14609 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126266 | Victoria Mack | Nurse Practitioner | 33 Landing Rd S, Rochester, NY 14610-3161 | 2020-05-21 |
| 1730749847 | Nicholas John Wodo | Nurse Practitioner | 601 Elmwood Ave Box 690, Rochester, NY 14642-0001 | 2019-06-20 |
| 1831438704 | Deborah Marie Tierney | Nurse Practitioner | 2200 Squirrel Road Human Health Building, Oakland University School of Nursing Room 2038, Rochester, MI 48309 | 2013-02-12 |
| 1205076122 | Panorama Pediatric Group, Rllp | Nurse Practitioner | 220 Linden Oaks Ste 200, Rochester, NY 14625-2839 | 2009-03-05 |
| 1932267721 | Amy Beth Realbuto | Nurse Practitioner | 451 E Henrietta Rd, 2nd Floor, Rochester, NY 14620-4629 | 2006-12-05 |
| 1396803169 | Melissa M Ryan | Nurse Practitioner | 601 Elmwood Ave Box 671, Rochester, NY 14642-0001 | 2006-12-05 |
| 1649345984 | Barbra Murante | Nurse Practitioner | 601 Elmwood Ave Rm 4-8123, Rochester, NY 14642-0001 | 2006-11-22 |
| 1730253808 | Paula Barbel | Nurse Practitioner | 451 E Henrietta Rd Fl 2, Rochester, NY 14620-4629 | 2006-11-20 |
| 1942372842 | Nancy Chevalier | Nurse Practitioner | 111 Westfall Road, Room 183, Rochester, NY 14692 | 2006-11-15 |
| 1215012521 | Patricia Ann Mccabe | Nurse Practitioner | 1850 Buffalo Rd, Suite 200 Genesis Pediatrics, Rochester, NY 14624-1502 | 2006-10-26 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.