Penelope Waite, MSN, APRN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3016824 Issued in KY

Practice address

200 Indian Springs Rd
MC Kee, KY 40447-9208

Phone

(606) 401-6734

NPI assigned

Oct 12, 2021

Last updated

Oct 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lexington Urgent Care PLLCGroup PAC ID 9830344688, 29 clinicians

Berea Urgent Care LLCGroup PAC ID 2567485949, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Berea Urgent Care LLC

  • Nurse Practitioner
  • Berea, KY
  • NPI 1912054792
  Medicare reassignment Care Compare group NPD
• Lexington Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Lexington, KY
  • NPI 1225374887

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Georgetown Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Georgetown, KY
  • NPI 1780838847

  Nurse Practitioner

  Medicare reassignment NPD
• Man O War Urgent Care LLC

  • Urgent Care Clinic/Center
  • Lexington, KY
  • NPI 1083101240

  Nurse Practitioner

  Medicare reassignment NPD
• Physician's Eye Center, PSC

  • Ophthalmology Physician
  • Lexington, KY
  • NPI 1902076714
  NPD (past)

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1659033207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 INDIAN SPRINGS RD",
            "city": "MC KEE",
            "state": "KY",
            "postal_code": "404479208",
            "telephone_number": "606-401-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 INDIAN SPRINGS RD",
            "city": "MC KEE",
            "state": "KY",
            "postal_code": "404479208",
            "telephone_number": "606-401-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "PENELOPE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3016824",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1074415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Mahoney Tackett, PHARMD
• Sandra Thomas
• Thompson Drug McKee, Inc (Thompson Drug Mckee)
• Tracie Lynn Vanwinkle, IECE
• Jami Vaughn
• Walgreen Co (Walgreens #17796)
• Alycia Ann Walty, M.D.
• Marcia White, PHARMD
• Bradley Williams, M.D.
• Tiffany Renee Williamson, LCSW

• Nurse Practitioner in McKee, KY
• Providers in McKee, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.