Michael Cris Pennington

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

11604 E 23Rd St
Tulsa, OK 74129-5602

Phone

(918) 630-6029

NPI assigned

Oct 26, 2023

Sex

Male

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

Practice roles

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.

• Soberlife Recovery Incorporated

  • Peer Specialist
  • Tulsa, OK
  • NPI 1407685134
  NPD

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1194597773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11604 E 23RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741295602",
            "telephone_number": "918-630-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11604 E 23RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741295602",
            "telephone_number": "918-630-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "MICHAEL",
        "middle_name": "CRIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Grace Penner
• Robert Penney
• Stephanie Pennie, NP
• Pennington Creek Lifehouse
• Kendra Sue Pennington, OTR/L
• Michael V Pennington
• Pennsylvania Professional Reading PC
• Margaret Kathryn Penny
• Lacy Erin Penrod, APRN-CNP
• Sarah Penrod

• 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 Oct 26, 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.