Individual provider Active NPI

Morgan Jean Pennington, RN

  • Registered Nurse
  • Princeton, WV
National Provider Identifier
1174237036
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
291963 Issued in NC
Practice address
738 Mercer St
Princeton, WV 24740-3114
Phone
(304) 323-3069
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 291963 NC Primary

Addresses

Primary practice location

738 Mercer St
Princeton, WV 24740-3114

Mailing address

505 Debra Rd
Falls Mills, VA 24613-9434
Phone (304) 323-3069

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Desktop/Tablet

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
291963NCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Community Homecare, LLC CurrentSince Jan 8, 2023 Accepting new patients
Princeton Community Homecare, LLC PastSince Jan 8, 2023 Accepting new patients

Locations

738 Mercer St
Princeton, WV 24740
Phone (304) 323-3069

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1174237036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 DEBRA RD",
            "city": "FALLS MILLS",
            "state": "VA",
            "postal_code": "246139434",
            "telephone_number": "304-323-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 MERCER ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403114",
            "telephone_number": "304-323-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "MORGAN",
        "middle_name": "JEAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "291963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop/Tablet",
            "affiliation": "N",
            "address_1": "738 Mercer St",
            "city": "Princeton",
            "state": "WV",
            "country_code": "US",
            "postal_code": "247403114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.