SHERRILL JAVON PENDLETON LPN
NPI 1366288797
Licensed Practical Nurse in Mastic, NY
NPI Status: Active since July 04, 2024
- Individual
- Female
- Licensed Practical Nurse
- PECOS Enrolled
About SHERRILL PENDLETON
This page provides the complete NPI Profile along with additional information for Sherrill Pendleton, a provider established in Mastic, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1366288797 assigned on July 2024. The practitioner's primary taxonomy code is 164W00000X with license number 350322 (NY). The provider is registered as an individual and her NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1366288797
- Provider Name
- SHERRILL JAVON PENDLETON LPN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 118 MASTIC BLVD MASTIC, NY 11950
- Location Phone
- (631) 384-7326
- Mailing Address
- 118 MASTIC BLVD MASTIC, NY 11950
- Mailing Phone
- (631) 384-7326
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-04-2024
- Last Update Date
- 10-30-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 350322
- License State
- NY
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medicare Participation & PECOS Enrollment Status
Sherrill Pendleton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 2 | 8 | 8 | 7 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 4 | 8 | 16 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 4 + 8 + 1 + 6 + 7 + 1 + 8 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1366288797 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366288797, enumerated in the NPI registry as an "individual" on July 04, 2024
The provider is located at 118 Mastic Blvd Mastic, Ny 11950 and the phone number is (631) 384-7326
The provider's speciality is Licensed Practical Nurse with taxonomy code 164W00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME).
This NPI record was last updated on July 04, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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