Kelley Elaine Pennell, CNS

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

709818 Issued in TX

Practice address

5000 Schertz Pkwy Ste 400
Schertz, TX 78154-1457

Phone

(210) 495-7246

Fax

(210) 495-7245

NPI assigned

Jan 1, 2008

Last updated

May 23, 2016By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

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

• Stephen Dinger DO PLLC

  dba Advanced Pain Management and Rehab

  • Pain Clinic/Center
  • San Antonio, TX
  • NPI 1356774319
  NPD (past)

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

{
    "created_epoch": "1199145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1255516944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117475",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750117475",
            "telephone_number": "210-495-7246",
            "fax_number": "210-495-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SCHERTZ PKWY STE 400",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541457",
            "telephone_number": "210-495-7246",
            "fax_number": "210-495-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNELL",
        "first_name": "KELLEY",
        "middle_name": "ELAINE",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-01",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "709818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick W. Martin, P.a. (Schertz Chiropractic)
• Peak Physical Therapy, LLC
• Devon Peck
• Eva Pedraza Gonzalez, RN
• Nathan Rene Pena
• Mark A Penshorn, DDS
• Zachary Pepin
• Alexia Perales
• Amanda Perez, APRN
• Anna Elizabeth Perez, FNP-C

• Adult Health Clinical Nurse Specialist in Schertz, TX
• Providers in Schertz, TX by specialty
• Adult Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.