Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Pendleton

Individual provider Community Health Worker · NPI 1174867246

Justin Pendleton is a Community Health Worker in Laramie, Wyoming. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
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Practice location Address checks out

4989 N 3rd St
Laramie, WY 82072-9548
Phone: (307) 745-8997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1174867246
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 15, 2012
Last updated in NPPESJanuary 14, 2013
Mailing address4989 N 3rd St, Laramie, WY 82072-9548

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