Individual provider Active NPI

Heather Lynn Penwell, BSN, RN

  • Registered Nurse
  • Piketon, OH
National Provider Identifier
1447850078
Registry record updated Nov 1, 2020
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Oct 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.417076 Issued in OH
Practice address
185 Cabin Creek Rd
Piketon, OH 45661-8097
Phone
(740) 941-8165
NPI assigned
Nov 1, 2020
Last updated
Nov 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.417076 OH Primary

Addresses

Primary practice location

185 Cabin Creek Rd
Piketon, OH 45661-8097

Mailing address

185 Cabin Creek Rd
Piketon, OH 45661-8097
Phone (740) 941-8165

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.417076OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1447850078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CABIN CREEK RD",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456618097",
            "telephone_number": "740-941-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CABIN CREEK RD",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456618097",
            "telephone_number": "740-941-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENWELL",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-01",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.417076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piketon, OH

Sources for this page

Verify at the official NPI Registry.