Kathleen Rose Penman, APNP

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

CTP 01576 Issued in OH

Practice address

10000 Brecksville Rd
Building #2-22B
Brecksville, OH 44141-3204

Phone

(440) 526-3030

NPI assigned

Aug 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710990668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32540 LAKE RD",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121732",
            "telephone_number": "440-933-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BRECKSVILLE RD",
            "address_2": "BUILDING #2-22B",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413204",
            "telephone_number": "440-526-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENMAN",
        "first_name": "KATHLEEN",
        "middle_name": "ROSE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "CTP 01576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joni Rae Paris, NP-C
• Elaine Susan Paskert
• Michael J Paskert
• Gina Marie Paukst, BSPS,CPHT
• Sara Pavel
• Carla J. Penner, LPCC
• Alexandria Pete
• Michael William Petrasek, PSYCHOLOGIST
• Pharmacy Specialty Group, LLC
• Pharmacy Specialty Group, LLC (Pharmacy Specialty Group - LTC)

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Brecksville, OH
• Providers in Brecksville, OH by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.