Donna S Pennington, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704135201 Issued in MI

Practice address

1535 Gull Rd
# 150
Kalamazoo, MI 49048-1650

Phone

(269) 488-2191

Fax

(269) 488-2191

NPI assigned

Jun 21, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Healthcare Midwest PC

  • Surgery Physician
  • Kalamazoo, MI
  • NPI 1245451129
  NPD (past)
• Healthcare Midwest PC

  • Orthopaedic Hand Surgery Physician
  • Kalamazoo, MI
  • NPI 1265653158
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1376589143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 GULL RD",
            "address_2": "SUITE 150",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481650",
            "telephone_number": "269-488-2191",
            "fax_number": "269-488-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 GULL RD",
            "address_2": "# 150",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481650",
            "telephone_number": "269-488-2191",
            "fax_number": "269-488-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "DONNA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704135201",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704135201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "5008704510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Vivian Pelak
• John Pelletier, LMSW, CAADC
• Synty Aja Pelto-Boehm
• Sarah Leeann Pendziszewski
• Ian Penner
• Krystin R Penny, CHW
• Amanda Pentland, NP
• Megan Joy Pepper
• Morgan Rae Pepple, DNP
• Susan Marie Perez, NP

• Adult Health Nurse Practitioner in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.