Leah S Pennybaker

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

2440914 Issued in KY

Practice address

771 Corporate Dr
Suite 610
Lexington, KY 40503-5405

Phone

(859) 410-8550

NPI assigned

Apr 19, 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1821355546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910544",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405910544",
            "telephone_number": "859-410-8550",
            "fax_number": "859-223-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 CORPORATE DR",
            "address_2": "SUITE 610",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035405",
            "telephone_number": "859-410-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNYBAKER",
        "first_name": "LEAH",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "KY",
            "license": "2440914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Erin Pennington, PA-C
• Jessica Marie Pennington, P.T.
• Katherine L. Pennington, LCSW
• Rose Pennington, LMFT
• Marissa Penny
• Cindy Le Penrod, LCSW
• Amy Beth Penticuff, APRN
• Justin Clay Penticuff
• Patrick Pepper, PA-C
• Cecil Peppiatt

• Electroneurodiagnostic Specialist/Technologist in Lexington, KY
• Providers in Lexington, KY by specialty
• Electroneurodiagnostic Specialist/Technologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.