Robert Todd Pennington, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A006109 Issued in AR

Practice address

402 S Lee St
Hampton, AR 71744-8615

Phone

(870) 798-4299

NPI assigned

Mar 18, 2019

Sex

Male

Sole proprietor

No

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

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cabun Rural Health Services, IncGroup PAC ID 9133029234, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ouachita County Medical Center Hospital, Camden, AR, CCN 040050

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Cabun Rural Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hampton, AR
  • NPI 1912946807
  Medicare reassignment Care Compare group NPD
• Cabun Rural Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Lewisville, AR
  • NPI 1437193646
  NPD

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1235698200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S LEE ST",
            "city": "HAMPTON",
            "state": "AR",
            "postal_code": "717448615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S LEE ST",
            "city": "HAMPTON",
            "state": "AR",
            "postal_code": "717448615",
            "telephone_number": "870-798-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "ROBERT",
        "middle_name": "TODD",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A006109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Jeans
• Darla J Johnston, COTA
• Charles Lee Liggett Jr., M.D.
• Wanda Renee McClellan, APN
• Pendulum Health Systems
• Rhonda Seat, APRN
• South Arkansas Regional Health Center
• State of Arkansas
• Superintendent of Hampton School
• Daniel Adrian Whitelocke, M.D.

• Family Nurse Practitioner in Hampton, AR
• Providers in Hampton, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.