Lindsey Michelle Penson, RN, BSN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

234237 Issued in AZ

Practice address

5918 N Milano CT
Litchfield Park, AZ 85340-7374

Phone

(602) 576-3607

NPI assigned

Sep 22, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1669195855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 N MILANO CT",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853407374",
            "telephone_number": "602-576-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5918 N MILANO CT",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853407374",
            "telephone_number": "602-576-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENSON",
        "first_name": "LINDSEY",
        "middle_name": "MICHELLE",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AZ",
            "license": "234237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163WC1500X",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "5918NMilanoCtLitchfieldParkAZ85340",
            "affiliation": "N",
            "endpointDescription": "5918NMilanoCtLitchfieldParkAZ85340",
            "address_1": "5918NMilanoCt",
            "city": "LitchfieldPark",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Case Management Registered Nurse in Litchfield Park, AZ
• Providers in Litchfield Park, AZ by specialty
• Case Management Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.