Sandra Pennington, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4026742 Issued in KY

Practice address

21 Crestview Dr
Manchester, KY 40962-7012

Phone

(606) 594-1769

Fax

(606) 596-0473

NPI assigned

Sep 3, 2024

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

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Practice of Kentucky LLCGroup PAC ID 2961790167, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Family Practice of Kentucky LLC

  • Rural Health Clinic/Center
  • Manchester, KY
  • NPI 1972979540

  Family

  Medicare reassignment Care Compare group NPD
• Edwards Clinic, PSC

  • Rural Health Clinic/Center
  • Manchester, KY
  • NPI 1154635407

  Family

  NPD (past)

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1649005471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 SACKER RD",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409628109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CRESTVIEW DR",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409627012",
            "telephone_number": "606-594-1769",
            "fax_number": "606-596-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "SANDRA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4026742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce A Parker, APRN, NP-C
• Lisa Parks, MA
• Parkway Medical Clinic
• Jamilyn Parrigan, LCADC, LPCA, NCC
• Paula Gill, D.M.D Family Dentistry
• Pharmacare of Ky, Inc
• Kobkit Putrakul, MD
• Jenna Fay Ramsey, PHARMD
• Ashley Rayann Reams
• Rice and Associates, Inc.

• Family Nurse Practitioner in Manchester, KY
• Providers in Manchester, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.