Active NPI
Janice N Penton, FNP-BC
- Family Nurse Practitioner
- Franklinton, LA
National Provider Identifier
1902160237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP06668
- Practice address
- 806-B Riverside Drive
Franklinton, LA 70438-3688 - Phone
- (985) 839-3555
- Fax
- (985) 839-6320
- NPI assigned
- Jul 2, 2012
- 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 | AP06668 | LA | Primary |
Addresses
Primary practice location
806-B Riverside Drive
Franklinton, LA 70438-3688
Mailing address
1900 Main St
Franklinton, LA 70438-3688
Phone (985) 839-3555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2346440 | Medicaid | LA | |
| 315167YR4B | Other | MEDICARE PROVIDER NUMBER |
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 |
|---|---|---|---|
| AP06668 | LA | MD | Family Nurse Practitioner |
Interoperability endpoints
- janice.penton.1@4030.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1902160237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 MAIN ST",
"city": "FRANKLINTON",
"state": "LA",
"postal_code": "704383688",
"telephone_number": "985-839-3555",
"fax_number": "985-839-6320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806-B RIVERSIDE DRIVE",
"city": "FRANKLINTON",
"state": "LA",
"postal_code": "704383688",
"telephone_number": "985-839-3555",
"fax_number": "985-839-6320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENTON",
"first_name": "JANICE",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-02",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP06668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2346440",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "315167YR4B",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklinton, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.