Active NPI
Penny H. Rimmer
- Attendant Care Provider
- Newport, NC
National Provider Identifier
1265627715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- FCL-016-008
- Practice address
- 4722 Highway 101
Newport, NC 28570-6222 - Phone
- (252) 247-7830
- Fax
- (252) 247-7830
- NPI assigned
- Sep 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | FCL-016-008 | NC | Primary |
Addresses
Primary practice location
4722 Highway 101
Newport, NC 28570-6222
Mailing address
4722 Highway 101
Newport, NC 28570-6222
Phone (252) 247-7830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7802361 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FCL-016-008 | NC | MD | Attendant Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1265627715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4722 HIGHWAY 101",
"city": "NEWPORT",
"state": "NC",
"postal_code": "285706222",
"telephone_number": "252-247-7830",
"fax_number": "252-247-7830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4722 HIGHWAY 101",
"city": "NEWPORT",
"state": "NC",
"postal_code": "285706222",
"telephone_number": "252-247-7830",
"fax_number": "252-247-7830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIMMER",
"first_name": "PENNY",
"middle_name": "H.",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NC",
"license": "FCL-016-008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7802361",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.