Jennifer L Penn

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

C1715 Issued in WV

Practice address

113 Stanley St
Beckley, WV 25801-5745

Phone

(304) 906-9418

NPI assigned

Jun 3, 2013

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 names 1

• Jennifer Lawson Former name

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1750728598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 STANLEY ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015745",
            "telephone_number": "304-906-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 STANLEY ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015745",
            "telephone_number": "304-906-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WV",
            "license": "C1715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LAWSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin Peck
• Thelma Peck
• Pediatric Care Unlimited, Inc.
• Joneece Pendley
• Jaron Penn
• Robert Penn
• Bessie Marie Pennington
• Katherine Pennington
• Brandon Pennypacker
• Melanie Ann Pepitone

• Occupational Therapy Assistant in Beckley, WV
• Providers in Beckley, WV by specialty
• Occupational Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.