MR. DAMON PENDYGRAFT (NPI# 1831719061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831719061 |
| Entity Type | Individual |
| Full Name | MR. DAMON PENDYGRAFT |
| Credential | LPN |
| Practice Address |
1925 Lincoln Dr Flint MI 48503-4718 |
| Practice Telephone | 8704902625 |
| Mailing Telephone | 8704902625 |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703095631 | MI | Nursing Service Providers |
| Street Address |
1925 LINCOLN DR |
| City | FLINT |
| State | MI |
| Zip Code | 48503-4718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual 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. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454467 | Coydria Denise Spencer | Licensed Practical Nurse | 1910 Roselawn Dr, Flint, MI 48504-2086 | 2020-07-15 |
| 1508496175 | Taquna Scales | Licensed Practical Nurse | 440 Buckingham Ave, Flint, MI 48507-2707 | 2020-01-22 |
| 1447701974 | Stephanie Bery | Licensed Practical Nurse | 6024 Hopkins Rd, Flint, MI 48506-1656 | 2016-10-19 |
| 1770945875 | Claudia Smith | Licensed Practical Nurse | 1822 Mcphail St, Flint, MI 48503-4367 | 2016-03-28 |
| 1215399373 | Anegelina Schellinger | Licensed Practical Nurse | 4265 N Vassar Rd, Flint, MI 48506-1711 | 2016-03-27 |
| 1497116610 | Patricia Ann Thomas | Licensed Practical Nurse | 1024 River Valley Dr, Apt. 1040, Flint, MI 48532-2920 | 2016-03-15 |
| 1760847065 | Phyllis Hill | Licensed Practical Nurse | G3380 Beecher Rd Ste A, Flint, MI 48532-3647 | 2015-12-31 |
| 1659744894 | Katherine Howard | Licensed Practical Nurse | 592 Honey Locust Ln, Flint, MI 48506-5212 | 2015-11-10 |
| 1285016600 | Stephanie Hartfield | Licensed Practical Nurse | 921 E 7th St, Flint, MI 48503-2777 | 2015-06-22 |
| 1710368337 | Stephanie Jones | Licensed Practical Nurse | 212 W Paterson St, Flint, MI 48503-1042 | 2015-06-10 |
| Find all providers in FLINT | ||||
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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.