NPI age
17 years
Enumerated 2009-03-12
● Active
Type 1 · Individual
Kevin Pendlebury, CDE
Pendlebury is 1 of 1 registered nurse providers in Fort Hall and 1 of 31 in Idaho.
Primary specialty
Registered Nurse
Plus 1 subspecialty
Licensed in
IL, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2009-03-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 31 active registered nurse providers in Idaho.
NPI age
17 years
↑ 2 yr above median (15 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 16% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-03Enumerated in NPPES
2009
2026
Where they practice
Practice location
Mission Rd
Fort Hall, ID 832030306
Mailing address
Po Box 306
Fort Hall, ID 832030306
Specialties
-
Registered Nurse PrimaryDefinition to come...
-
Registered Nurse(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 003399100 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.