Alyssa Dawne Pennock, BSN, RN, FNE

Primary specialty

Perinatal Clinical Nurse SpecialistTaxonomy code 364SP1700X

License

2023007962 Issued in MO

Practice address

2809 Felix St
Saint Joseph, MO 64501-3348

Phone

(417) 342-6383

NPI assigned

Mar 24, 2025

Sex

Female

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

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1295536381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 FELIX ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645013348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 FELIX ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645013348",
            "telephone_number": "417-342-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNOCK",
        "first_name": "ALYSSA",
        "middle_name": "DAWNE",
        "credential": "BSN, RN, FNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP1700X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Perinatal",
            "state": "MO",
            "license": "2023007962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Urgent Care LLC
• Abigayle Marcene Peery, PT, DPT
• Melinda K Pemberton, FNP-BC
• Gopichand Pendurti, M.D
• Robyn A Penney, CCC-SLP
• Roberta J Peregrine
• Perfect Sense Eye Center St. Joe, LLC
• Performance Plus Medical Supplies LLC
• Performance Plus Rehabilitation Center LLC
• Matthew T Perry, MD

• Clinical Nurse Specialist in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Clinical Nurse Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.