Penninah McClelland

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

349400 Issued in TX

Practice address

11355 Richmond Ave Apt 1715
Houston, TX 77082-7661

Phone

(832) 756-3369

NPI assigned

Aug 26, 2019

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1265080097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 DAIRY ASHFORD RD STE 560",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770793035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11355 RICHMOND AVE APT 1715",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770827661",
            "telephone_number": "832-756-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "PENNINAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "349400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen McClean, MD
• Anna Marie McClellan, PA-C
• Letosha McClellan, CST/CFA
• Patrick Joseph McClellan, DDS
• Myles Christopher McClelland, MD
• Britney McClendon
• Edward Bruce McClendon, M.D.
• Eric Wayne McClendon, BASW, BSC
• Symone Ayanna McClendon
• Tkea Chanice McClendon, LPC-A

• Licensed Vocational Nurse in Houston, TX
• Providers in Houston, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.