Pennie Marie Kane

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0268512308 Issued in NH

Practice address

27 Lowell St
Suite 205
Manchester, NH 03101-1646

Phone

(603) 622-2007

Fax

(603) 622-1132

NPI assigned

May 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 identifiers 1

Other names 1

• Pennie M Kane Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Specialized Health Management Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Needham, MA
  • NPI 1700912656
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952359192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CRAIG DR",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030543955",
            "telephone_number": "603-424-4438",
            "fax_number": "603-622-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 LOWELL ST",
            "address_2": "SUITE 205",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011646",
            "telephone_number": "603-622-2007",
            "fax_number": "603-622-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "PENNIE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "0268512308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30340998",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENNIE",
            "last_name": "KANE",
            "middle_name": "M",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David G Kamen, PH.D.
• Shannon Kamieneski, BA
• Steven E Kammann, MD
• Kelly Kamuhanda
• Kim Kane, LCMHC
• Sheri Kangas
• Anita Kao, NNP-BC
• Melanie Lynne Kapetan
• Alan D Kaplan, M.D.
• Dennis Michael Kaplon, BS IN PHARMACY

• Psychiatric/Mental Health Nurse Practitioner in Manchester, NH
• Providers in Manchester, NH by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Hampshire

• 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.

Verify at the official NPI Registry.