Tiffany Penewit
Individual provider Active NPI Licensed Practical Nurse · Clarksville, OH
NPI 1487597282 · NPPES record last updated Apr 14, 2026
Key facts
- NPI
- 1487597282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LPN.144467.MEDS-IV (OH)
- Practice address
- 2556 Lebanon Rd
Clarksville, OH 45113-8201 - Phone
- (937) 289-2109
- Fax
- (937) 744-4531
- NPI assigned
- Apr 14, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN.144467.MEDS-IV | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.144467.MEDS-IV | OH | Yes |
Addresses
Primary practice location
2556 Lebanon Rd
Clarksville, OH 45113-8201
Mailing address
2717 Martinsville Rd
Martinsville, OH 45146-9704
Other providers in Clarksville, OH
- Autumn M Lynch
- Darla Marler
- Med a Call Corporation
- Rhonda Lynn Neeley
- Hilary Velvet Oliver Burrows
- Christin Perdue
- Danielle Petrey
- Carol Rickey
- Leslee Yvonne Roberts II
- Brianna Nichol Robinson
All providers in Clarksville, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.