Carol Moore Penfield, NPC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN175181 Issued in MA

Practice address

495 Station Ave
South Yarmouth, MA 02664-1218

Phone

(508) 778-4777

NPI assigned

Jan 19, 2011

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)

Enrolled

Credentials

Master of Science, Registered Nurse

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 and National Provider Directory roles.

• Health Improvement Consultants LLC

  • Adult Health Nurse Practitioner
  • Chatham, MA
  • NPI 1932499050
  NPD (past) Authorized official

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1306141544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 NORTH ST STE 221",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015133",
            "telephone_number": "508-862-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 STATION AVE",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026641218",
            "telephone_number": "508-778-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENFIELD",
        "first_name": "CAROL",
        "middle_name": "MOORE",
        "credential": "NPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN175181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Nicole Palko, M.S.W.
• Jennifer Lynn Patten, M.D.
• Eric Pattie, PHARMD
• Meagan Pavao, LADC 1
• Kimberly Pearce, DPT,PT
• Barbara Petrie, OTR
• Donald E Philla, BA
• Delight Pieretti
• Sara Plummer
• Ariel Simone Price Perry

• Adult Health Nurse Practitioner in South Yarmouth, MA
• Providers in South Yarmouth, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.