Melissa Pennant

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

MELISSA PENNANT

Practice address

189 Beech St
Valley Stream, NY 11580-4903

Phone

(718) 809-9685

Fax

(718) 228-7059

NPI assigned

Nov 24, 2025

Organization subpart

No

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

Authorized official

Name

Melissa Pennant, LPNNPI 1043532864

Title

Licensed Practical Nurse

Phone

(718) 809-9685

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Pennant

  • Licensed Practical Nurse
  • Valley Stream, NY
  • NPI 1043532864
  NPD Authorized official

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1437010899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 BEECH ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115804903",
            "telephone_number": "718-809-9685",
            "fax_number": "718-228-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 BEECH ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115804903",
            "telephone_number": "718-809-9685",
            "fax_number": "718-228-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA PENNANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "PENNANT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "LICENSED PRACTICAL NURSE",
        "authorized_official_telephone_number": "718-809-9685",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iwona Medina
• Samantha J Medina
• Medisync Partners LLC
• Allison A Meehan
• Saman Mehdi
• Sarah Melmed
• Melody Monique Clemons-Smith
• Melpprivatedutynur
• Sybil Melville
• Zakir Memon, DO

• Licensed Practical Nurse in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.