Active NPI
Patricia Pennington, FNPC
- Family Nurse Practitioner
- Monroe, LA
National Provider Identifier
1881623957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN077208 AP03480
- Practice address
- 210 Layton Ave Ste 20
Monroe, LA 71201-8548 - Phone
- (318) 323-6405
- Fax
- (318) 410-8290
- NPI assigned
- Jul 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN077208 AP03480 | LA | Primary |
Addresses
Primary practice location
210 Layton Ave Ste 20
Monroe, LA 71201-8548
Mailing address
PO Box 3167
Monroe, LA 71210-3167
Phone (318) 323-6405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN077208 AP03480 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Pain Care, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Monroe, LA
- NPI 1699828574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881623957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3167",
"city": "MONROE",
"state": "LA",
"postal_code": "712103167",
"telephone_number": "318-323-6405",
"fax_number": "318-410-8290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 LAYTON AVE STE 20",
"city": "MONROE",
"state": "LA",
"postal_code": "712018548",
"telephone_number": "318-323-6405",
"fax_number": "318-410-8290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNINGTON",
"first_name": "PATRICIA",
"credential": "FNPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "RN077208 AP03480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
- Juanita Pegross
- Latora Pegross
- Pelican Mobile Health, LLC
- Aristoteles Pena-Miches, M.D.
- Rosalind Aulette Penegar
- Tammy Bradford Pennington, RD, CSR, LDN
- People United of Louisiana LLC (People United of Louisiana)
- People United of Louisiana LLC
- People United of Louisiana LLC (People United Behavioral Health)
- People United of Louisiana LLC (People United of Louisiana)
Sources for this page
- 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.