Ashley Lauren Penn, CRNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1-104480 Issued in AL

Practice address

9797 Timber Cir Ste a
Spanish Fort, AL 36527-5459

Phone

(251) 928-0624

Fax

(251) 928-0655

NPI assigned

Apr 11, 2012

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Eastern Shore Children's Clinic

  • Pediatrics Physician
  • Fairhope, AL
  • NPI 1831151331
  NPD (past)
• Eastern Shore Children's Clinic, P.C.

  • Pediatrics Physician
  • Spanish Fort, AL
  • NPI 1447614854
  NPD (past)

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1730446071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S INGLESIDE ST STE 7",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321804",
            "telephone_number": "251-928-0624",
            "fax_number": "251-928-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9797 TIMBER CIR STE A",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275459",
            "telephone_number": "251-928-0624",
            "fax_number": "251-928-0655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 S Ingleside St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365321804",
            "country_code": "US",
            "telephone_number": "251-928-0624",
            "fax_number": "251-928-0655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENN",
        "first_name": "ASHLEY",
        "middle_name": "LAUREN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-104480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Alison Page
• Isabella Francesca Palmieri, RBT
• Makayla Faith Parker, RBT
• Monica J Peak, ALC, NCC
• Jourdan E. Pendley, PHARM.D.
• PFCC, LLC
• Jessica Thanh Pham
• Virginia Pilcher, PHARMD
• Amber Pratt, OT
• Presbyterian Retirement Corporation, Inc. (Primary Care Services at Westminster Village)

• Acute Care Nurse Practitioner in Spanish Fort, AL
• Providers in Spanish Fort, AL by specialty
• Acute Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.