Shavonne Pennington

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

116260 Issued in OH

Practice address

1650 Iliff Ave
Cincinnati, OH 45205-1016

Phone

(513) 403-5744

NPI assigned

Aug 16, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shavonne Tennille Howard Former name

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": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1912452335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 ILIFF AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452051016",
            "telephone_number": "513-403-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 ILIFF AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452051016",
            "telephone_number": "513-403-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "SHAVONNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "116260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAVONNE",
            "last_name": "HOWARD",
            "middle_name": "TENNILLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John K Pennington, CRNA
• Kezia R Pennington
• Ladonna Nicole Pennington
• Margaret Pennington, LPCC-S
• Michael Pennington, QMHS
• Devon M Penny
• Martha Beth Penny
• Dawn Dee Penrod
• Sofia Marie Penrose, DO
• Meredith Jenny Pensak, MD

• Licensed Practical Nurse in Cincinnati, OH
• Providers in Cincinnati, 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 Aug 16, 2016; 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.