Individual provider Active NPI

Penelope Shaylene Clevenger

  • Hearing Instrument Specialist
  • Gardendale, AL
National Provider Identifier
1629784574
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
4257 Issued in AL
Practice address
1326 Main St Ste 108
Gardendale, AL 35071-2471
Phone
(205) 608-3979
NPI assigned
Jan 24, 2023
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 4257 AL Primary

Addresses

Primary practice location

1326 Main St Ste 108
Gardendale, AL 35071-2471

Mailing address

1326 Main St Ste 108
Gardendale, AL 35071-2471
Phone (205) 608-3979

Other names 1

  • Penelope Shaylene Schmidt Former name

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

State licenses

LicenseStateTypeSpecialty
4257ALMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hal & Linda Inc PastSince Jan 29, 2023 Accepting new patients
Tri-State Hearing, LLC PastSince Jan 29, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1629784574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 MAIN ST STE 108",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712471",
            "telephone_number": "205-608-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 MAIN ST STE 108",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712471",
            "telephone_number": "205-608-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVENGER",
        "first_name": "PENELOPE",
        "middle_name": "SHAYLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AL",
            "license": "4257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENELOPE",
            "last_name": "SCHMIDT",
            "middle_name": "SHAYLENE",
            "credential": "BC-HIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gardendale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.