Janice Marion Penn, PHD

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

R14768 Issued in NM

Practice address

4101 Barbara Loop SE
Suite D
Rio Rancho, NM 87124-1009

Phone

(505) 892-3639

Fax

(505) 892-6348

NPI assigned

Mar 2, 2006

Last updated

Aug 8, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Guidance Foundation Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rio Rancho, NM
  • NPI 1760421168
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1144297771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 BARBARA LOOP SE",
            "address_2": "SUITE D",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241009",
            "telephone_number": "505-892-3639",
            "fax_number": "505-892-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 BARBARA LOOP SE",
            "address_2": "SUITE D",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241009",
            "telephone_number": "505-892-3639",
            "fax_number": "505-892-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "JANICE",
        "middle_name": "MARION",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NM",
            "license": "R14768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98648",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Pena
• Sarah L Pena
• Cindy Pendrey
• Marlene Penida, RN
• Elizabeth Ann Penland, PH.D.
• James Pennington
• Penny's Playce, LLC
• Peopleworks-NM
• Sulema Perales, PHD
• Mel Angel Peralta, MD

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.