Rashawn Lynett Pennyman

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

0069975 Issued in OH

Practice address

24455 Lake Shore Blvd Apt 101
Euclid, OH 44123-1237

Phone

(216) 370-1374

NPI assigned

Feb 27, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1548500549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17134",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441170134",
            "telephone_number": "216-370-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24455 LAKE SHORE BLVD APT 101",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441231237",
            "telephone_number": "216-370-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNYMAN",
        "first_name": "RASHAWN",
        "middle_name": "LYNETT",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OH",
            "license": "0069975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069975",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Joselyn Pelima
• Jenna Loraine Penny
• Carleatta Marie Peoples, LPN
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• Carol Lynn Perison

• Community Health Worker in Euclid, OH
• Providers in Euclid, OH by specialty
• Community Health Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.