Active NPI
Diane M Pennington, D.O.
- Family Medicine Physician
- Lincoln, KS
National Provider Identifier
1942328281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05-26333
- Practice address
- 313 E. Franklin St.
Lincoln, KS 67455 - Phone
- (785) 524-4474
- Fax
- (785) 524-5320
- NPI assigned
- Mar 26, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05-26333 | KS | Primary |
| Family Medicine Physician | 207Q00000X | 106532 | MO |
Addresses
Primary practice location
313 E. Franklin St.
Lincoln, KS 67455
Mailing address
313 E. Franklin St.
Lincoln, KS 67455
Phone (785) 524-4474
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-26333 | KS | MD | Family Medicine Physician |
| 106532 | MO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1942328281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 E. FRANKLIN ST.",
"city": "LINCOLN",
"state": "KS",
"postal_code": "67455",
"telephone_number": "785-524-4474",
"fax_number": "785-524-5320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 E. FRANKLIN ST.",
"city": "LINCOLN",
"state": "KS",
"postal_code": "67455",
"telephone_number": "785-524-4474",
"fax_number": "785-524-5320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNINGTON",
"first_name": "DIANE",
"middle_name": "M",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "05-26333",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "106532",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, KS
- Mid America Health Centers Inc (Mid America Health Care)
- Mid America Health Centers Inc (Mid America Health Care)
- Mid America Health Centers Inc (Mid America Health Care)
- Mid America Health Centers Inc (Mid America Health Care)
- Caitlyn Nichole Miller, PT, DPT
- Katie Reagan, LPC
- Justin Lee Weigel, CPTA
- Weimer Drug Co., Inc. (Patterson Health Mart Pharmacy Lincoln)
- Weimer Drug Co., Inc. (Patterson Health Mart Pharmacy Lincoln)
- Workman Chiropractic Clinic P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.