Carla Donnell Penton, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R655538 Issued in MS

Practice address

2274 Highway 43 S
Picayune, MS 39466-8141

Phone

(601) 798-3989

Fax

(601) 798-3964

NPI assigned

Jan 30, 2010

Last updated

Dec 11, 2014By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1264809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1326370461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2274 HIGHWAY 43 S",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394668141",
            "telephone_number": "601-798-3989",
            "fax_number": "601-798-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2274 HIGHWAY 43 S",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394668141",
            "telephone_number": "601-798-3989",
            "fax_number": "601-798-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTON",
        "first_name": "CARLA",
        "middle_name": "DONNELL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-30",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R655538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Deloris Patrick
• Pearl River Emergency Group LLC
• Pearl River Rehab, P.a.
• Pediatric Care Clinic
• Pelican Urgent Care, Ms, LLC
• Victoria-Leigh Elizabeth Perkins, RBT
• Personal Pediatric Care of Picayune LLC
• Clara Annette Phillippe
• Phoenix Health, LLC
• Picayune Chiropractic Clinic Inc

• Family Nurse Practitioner in Picayune, MS
• Providers in Picayune, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.