Pennington Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PENNINGTON WELLNESS LLC

Practice address

615 S Main St
Suite a
Corbin, KY 40701-1469

Phone

(606) 261-2053

NPI assigned

May 14, 2015

Last updated

May 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deedra PenningtonNPI 1366742777

Title

Owner/Manager

Phone

(606) 261-2053

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deedra Pennington, D.C.

  • Chiropractor
  • Corbin, KY
  • NPI 1366742777
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1669850327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2641",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407022641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S MAIN ST",
            "address_2": "SUITE A",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011469",
            "telephone_number": "606-261-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNINGTON WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "DEEDRA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "606-261-2053"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Patin
• Cymbre Lin Patrick, LCSW
• Jordan B Patterson, APRN
• Krystal Dawn Patterson
• Melissa Renee Patterson, MA, LPCC
• Deedra Pennington, D.C.
• Madison Pennington
• Jimmye Shannon Perkins, M.D.
• Mary Elizabeth Perkins, BS
• Bradley Dale Perry

• Chiropractor in Corbin, KY
• Providers in Corbin, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.