Active NPI
Penny Staley, REGISTERED NURSE
- Registered Nurse
- Troy, OH
National Provider Identifier
1902297229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.208556
- Practice address
- 413 E Canal St
Troy, OH 45373-3616 - Phone
- (937) 332-3965
- Fax
- (937) 332-3976
- NPI assigned
- Feb 9, 2015
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.208556 | OH | Primary |
Addresses
Primary practice location
413 E Canal St
Troy, OH 45373-3616
Mailing address
413 E Canal St
Troy, OH 45373-3616
Phone (937) 332-3965
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.208556 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1902297229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 E CANAL ST",
"city": "TROY",
"state": "OH",
"postal_code": "453733616",
"telephone_number": "937-332-3965",
"fax_number": "937-332-3976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 E CANAL ST",
"city": "TROY",
"state": "OH",
"postal_code": "453733616",
"telephone_number": "937-332-3965",
"fax_number": "937-332-3976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALEY",
"first_name": "PENNY",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-09",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.208556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.