JESSICA ABNEY PENNINGTON (NPI# 1003861162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003861162 |
| Entity Type | Individual |
| Full Name | JESSICA ABNEY PENNINGTON |
| Credential | MD |
| Practice Address |
2750 Battlefield Memorial Hwy Berea KY 40403-8332 |
| Mailing Address |
Po Box 936 London KY 40743-0936 |
| Practice Telephone | 8599860302 |
| Practice Fax Number | 8599860315 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 37778 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE | K014642 | 01 |
| KY | 64055908 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467613919 | Jessica Marie Pennington | Physical Therapist | 508 Maryland Ave, Lexington, KY 40508-1229 | 2008-06-18 |
| Street Address |
2750 BATTLEFIELD MEMORIAL HWY |
| City | BEREA |
| State | KY |
| Zip Code | 40403-8332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114356458 | Elizabeth Coblentz | Nurse Practitioner | 2750 Battlefield Memorial Hwy, Berea, KY 40403-8332 | 2013-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| Find all providers in zip 40403 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740317353 | University Primary Care Practices Inc | Family Medicine | 201 Front St Ste 101, Berea, OH 44017-1998 | 2007-02-28 |
| 1033280607 | Mary Margaret Miller | Family Medicine | 125 Clay Dr, Berea, KY 40403-1349 | 2006-11-13 |
| 1245339175 | Robert P Blankfield | Family Medicine | 201 Front St #101, Berea, OH 44017 | 2006-09-21 |
| 1457462103 | Leigh A Delair | Family Medicine | 2200 Menelaus Rd, Berea, KY 40403-9748 | 2006-08-31 |
| 1831131481 | Strauss Family Practice, LLC | Family Medicine | 402 Richmond Rd N, Suite B, Berea, KY 40403-1133 | 2006-06-11 |
| 1538115639 | Nicole Christine Troy | Family Medicine | 563 W Bagley Rd, 2nd Floor, Berea, OH 44017-1328 | 2006-05-26 |
| 1346229507 | Maureen A. Flannery | Family Medicine | 122 Main St, Berea, KY 40403-1903 | 2006-01-15 |
| 1376521286 | Valerie Powers | Family Medicine | 1350 W Bagley Rd, Berea, OH 44017-2912 | 2006-01-03 |
| 1396745170 | Jerry C Tardio | Family Medicine | 853 W Bagley Rd, Berea, OH 44017-2903 | 2005-07-22 |
| 1437561347 | Emily Zachowski | Family Medicine | 104 Legacy Dr, Berea, KY 40403-9594 | 2014-05-27 |
| Find all providers in BEREA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.