Active NPI 1013382126 Individual Practitioner Female Practitioner

Knetra Pendleton , APRN

Nurse Practitioner - Pediatrics • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Knetra Pendleton, APRN is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Jacksonville, FL. Practice services are available at 120 KING ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

120 King St

Jacksonville, FL 322042410

Telephone 9047604904

Associated Practice Facility / Clinic

🏢 Agape Pharmacy Facility NPI 1831102763

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Jacksonville, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.7 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

102 Specialists

Practicing in Jacksonville, FL (1565 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-21

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License FL ARNP9272743

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Kermide Laguerre

Advanced Practice Midwife

NPI 1033965231

Paula Twyman , FNP-BC

Nurse Practitioner - Family

NPI 1285294744

Family Nurse Practitioner (Board Certified)

Dr. Jennifer Hipp , DO

Pediatrics

NPI 1326131202

Doctor of Osteopathic Medicine (D.O.)

Wendy King , APRN

Nurse Practitioner - Pediatrics

NPI 1336781772

Advanced Practice Registered Nurse

Judith Hepburn , ARNP

Nurse Practitioner - Pediatrics

NPI 1447621420

Advanced Registered Nurse Practitioner

Monica Cox , ARNP

Nurse Practitioner

NPI 1467432351

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Business Mailing Address July 21, 2023

Registered at 231 DEVOE ST, JACKSONVILLE, FL 322202085 (Tel: 9044766016)

📍

Updated Practice Location June 21, 2023

Registered at 120 KING ST, JACKSONVILLE, FL 322042410 (Tel: 9047604904)

👤

Provider Name / Credentials Updated June 21, 2023

Recorded as KNETRA PENDLETON, APRN

✅

NPI Profile Active December 01, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 01, 2015

Registered at 1202 E PALM AVE, TAMPA, FL 336053512 (Tel: 8132737000)

📍

Updated Business Mailing Address December 01, 2015

Registered at 7440 TERRACE RIVER DR, TEMPLE TERRACE, FL 336377923 (Tel: 9042506195)

👤

Provider Name / Credentials Updated December 01, 2015

Recorded as KNETRA HATCH

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2015

Nurse Practitioner (License #ARNP9272743 in FL)

🟢

Initial NPI Registration & Enumeration December 01, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013382126

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 01, 2015

Last Update: July 21, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

231 Devoe St

Jacksonville, FL 322202085

Phone: 9044766016

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.