Michael V Pennington

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1728 S Carson Ave
Tulsa, OK 74119-4610

Phone

(918) 280-0310

NPI assigned

Feb 7, 2025

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 7, 2025.

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1144035239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 E 2ND PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741121214",
            "telephone_number": "918-527-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 S CARSON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194610",
            "telephone_number": "918-280-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "MICHAEL",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Penney
• Stephanie Pennie, NP
• Pennington Creek Lifehouse
• Kendra Sue Pennington, OTR/L
• Michael Cris Pennington
• Pennsylvania Professional Reading PC
• Margaret Kathryn Penny
• Lacy Erin Penrod, APRN-CNP
• Sarah Penrod
• Diane Pense, M.D.

• All providers in Tulsa, OK
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.