Active NPI
Augusta Pennington
- Peer Specialist
- McAlester, OK
National Provider Identifier
1154943611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 1101 E Monroe Ave
McAlester, OK 74501-4815 - Phone
- (918) 426-7800
- NPI assigned
- May 7, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
1101 E Monroe Ave
McAlester, OK 74501-4815
Mailing address
3301 N Robin St
McAlester, OK 74501-2053
Phone (918) 916-7705
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Augusta.Pennington@odmhsas.org | ODMHSAS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1154943611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 N ROBIN ST",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745012053",
"telephone_number": "918-916-7705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 E MONROE AVE",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745014815",
"telephone_number": "918-426-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNINGTON",
"first_name": "AUGUSTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-07",
"last_updated": "2023-11-27",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Augusta.Pennington@odmhsas.org",
"affiliation": "Y",
"affiliationName": "ODMHSAS",
"address_1": "1200 NE 13th St",
"city": "Oklahoma City",
"state": "OK",
"country_code": "US",
"postal_code": "731171022",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.