Penny Jelan Dry, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

RN00164631 Issued in WA

Practice address

14643 NE 166TH St
Woodinville, WA 98072-9013

Phone

(425) 806-9453

NPI assigned

Jan 6, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1144524026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 88TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982702858",
            "telephone_number": "360-653-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14643 NE 166TH ST",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980729013",
            "telephone_number": "425-806-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRY",
        "first_name": "PENNY",
        "middle_name": "JELAN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "WA",
            "license": "RN00164631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristin Erye Dowd, DDS
• Dr Amy Damore PLLC
• Dr Matt D Richards DDS PS
• Dr. Aaron H. Keith, PLLC
• Gemma Drouhard Stilley, MA, LMFT
• Lauren Dudugjian, MS-LMFT, MDIV
• Andrew Michael Dujenski, BS, DPT
• Melinda Dunphy, PTA
• Grace T. Dy, MD
• Eagle Eye Vision Care PS

• Pediatric Registered Nurse in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Pediatric Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.