Active NPI
Colleen Marie Pennington, CST/CSFA
- Surgical Assistant
- Florence, OR
National Provider Identifier
1427696244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 190198
- Practice address
- 87936 Limpit LN
Florence, OR 97439-9053 - Phone
- (541) 997-8414
- NPI assigned
- Dec 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 190198 | Primary |
Addresses
Primary practice location
87936 Limpit LN
Florence, OR 97439-9053
Mailing address
87936 Limpit LN
Florence, OR 97439-9053
Phone (541) 999-7813
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | PHMC | ||
| Other URL | cpennington@peacehealth.org | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1427696244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87936 LIMPIT LN",
"city": "FLORENCE",
"state": "OR",
"postal_code": "974399053",
"telephone_number": "541-999-7813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87936 LIMPIT LN",
"city": "FLORENCE",
"state": "OR",
"postal_code": "974399053",
"telephone_number": "541-997-8414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNINGTON",
"first_name": "COLLEEN",
"middle_name": "MARIE",
"credential": "CST/CSFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-11",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": "190198",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "PHMC",
"affiliation": "N",
"endpointDescription": "hospital",
"address_1": "400 9th St",
"city": "Florence",
"state": "OR",
"country_code": "US",
"postal_code": "974397398",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "cpennington@peacehealth.org",
"affiliation": "N",
"endpointDescription": "hospital",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Work",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "NA",
"address_1": "87936 Limpit Ln",
"city": "Florence",
"state": "OR",
"country_code": "US",
"postal_code": "974399053",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Florence, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.