Kayla Penner

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

15930 19 Mile Rd
Suite 150
Clinton Township, MI 48038-1155

Phone

(586) 464-0175

Fax

(586) 464-0178

NPI assigned

Mar 29, 2014

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

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.

• Ellie Sem Clinic, PLLC

  • Clinical Social Worker
  • Clinton Township, MI
  • NPI 1730899824
  NPD (past)
• Macomb Oakland Regional Center Inc.

  • Physical Therapist
  • Clinton Township, MI
  • NPI 1871696047
  NPD (past)

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396051200000",
    "number": "1366860256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 19 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381103",
            "telephone_number": "586-464-0175",
            "fax_number": "586-464-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15930 19 MILE RD",
            "address_2": "SUITE 150",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381155",
            "telephone_number": "586-464-0175",
            "fax_number": "586-464-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNER",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Pelini, LLPC, NCC
• Sarah Pellerito
• Jennifer Lynn Pelshaw
• Christine Peltier
• Judith Kay Peltier, MA, LLP
• Diego Alfonso Peralta, DPM
• Corey Richard Perkins, IDC
• Dawn Perkins
• Omar Raequan Perrin
• Perry Drug Stores Inc and Subsidiaries

• Other Technician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Other Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.