Active NPI
Ashley Penn
- Developmental Therapist
- Brandenburg, KY
National Provider Identifier
1104226422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 55 Harrington Ave
Brandenburg, KY 40108-9496 - Phone
- (270) 304-4059
- NPI assigned
- Aug 25, 2014
- Last updated
- May 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 201155315 | KY | |
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
55 Harrington Ave
Brandenburg, KY 40108-9496
Mailing address
55 Harrington Ave
Brandenburg, KY 40108-9496
Phone (270) 304-4059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201155315 | KY | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1104226422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 HARRINGTON AVE",
"city": "BRANDENBURG",
"state": "KY",
"postal_code": "401089496",
"telephone_number": "270-304-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 HARRINGTON AVE",
"city": "BRANDENBURG",
"state": "KY",
"postal_code": "401089496",
"telephone_number": "270-304-4059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENN",
"first_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "KY",
"license": "201155315",
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandenburg, KY
- Angela O'Donoghue, CSW
- Rebecca Ohanian-Samarin, APRN
- Natalie Orr, PHARMD
- Sarah A Padgett, APRN
- Kristin V Paul, ARNP RN
- Pharmboy Investments LLC (Save Rite Drugs, Brandenburg)
- Pharmboy Investments LLC (Save Rite Drugs Brandenburg)
- Pharmboy Investments LLC
- Physical Therapy Associates Inc
- Christopher G Pickering, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.