Organization Active NPI

Sleepwerx, LLC

  • Adult Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1477012045
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
SLEEPWERX, LLC
Practice address
4320 E Brown Rd Ste 104
Mesa, AZ 85205-4081
Phone
(480) 571-8460
Fax
(480) 571-8461
NPI assigned
Mar 13, 2019
Last updated
Sep 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Ms. Terry Lynn Penner, MS, ANP-C, ACNP-BCNPI 1669450508
Title
Adult/Acute Care Nurse Practitioner
Phone
(480) 571-8460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X Primary

Addresses

Primary practice location

4320 E Brown Rd Ste 104
Mesa, AZ 85205-4081

Mailing address

4320 E Brown Rd Ste 104
Mesa, AZ 85205-4081
Phone (480) 571-8460

Other identifiers 2

IdentifierTypeStateIssuer
584947OtherAZMEDICAID
584947MedicaidAZ

Other names 2

  • SleepWerx, LLC Former legal business name
  • Terry Lynn Penner Former legal business name

National Provider Directory

National Provider Directory

Locations

3514 N Power Rd
Ste 127
Mesa, AZ 85215
Phone (480) 571-8460

4320 E Brown Rd
Ste 101
Mesa, AZ 85205

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1477012045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 E BROWN RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054081",
            "telephone_number": "480-571-8460",
            "fax_number": "480-571-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 E BROWN RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054081",
            "telephone_number": "480-571-8460",
            "fax_number": "480-571-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEPWERX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "PENNER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADULT/ACUTE CARE NURSE PRACTITIONER",
        "authorized_official_telephone_number": "480-571-8460",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, ANP-C, ACNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "584947",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "584947",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SleepWerx, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Terry Lynn Penner",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.