Lorelei Penrod, LPN, CHPLN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN090083 Issued in OH

Practice address

2841 25TH St NE
Canton, OH 44705-3669

Phone

(330) 458-0780

NPI assigned

Apr 17, 2007

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

Other identifiers 1

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851517338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3263 OCALA AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462373",
            "telephone_number": "330-837-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 25TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447053669",
            "telephone_number": "330-458-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENROD",
        "first_name": "LORELEI",
        "credential": "LPN, CHPLN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN090083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106981839999",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslian Pellicier
• Hollie Pena
• Hsiao CHI Peng
• Allison Renee Pennington
• Nicole Penny
• Tracey Lynn Penrod, LPCC-S, LCDC III
• Anthony S Pentz, M.D.
• Kyle Matthew Pentz, DO
• Lawrence Charles Penvose, DO
• People Developed Systems

• Licensed Practical Nurse in Canton, OH
• Providers in Canton, OH by specialty
• Licensed Practical Nurse 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.