MRS. BETHANY LYN PENROD


Address: 40 Woody Dr, West Monroe, NY 13167-4184
Phone: 3157443779

MRS. BETHANY LYN PENROD (NPI# 1063952612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063952612
Entity Type Individual
Full Name MRS. BETHANY LYN PENROD
Other Name BETHANY LYN DEVINE
Practice Address 40 Woody Dr
West Monroe
NY 13167-4184
Practice Telephone 3157443779
Mailing Telephone 3157443779
Enumeration Date 2017-03-01
Last Update Date 2017-03-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist $$$$$$$$$ NY Other Service Providers

Office Location

Street Address 40 WOODY DR
City WEST MONROE
State NY
Zip Code 13167-4184

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629335757 Monique Smith Licensed Practical Nurse 294 Dutch Hill Rd, West Monroe, NY 13167 2012-04-13
1871737437 Deborah Groff Physical Therapist 35 Heritage Dr, West Monroe, NY 13167-3118 2009-04-27
1285291765 Patricia J Schwartz Licensed Practical Nurse 496 Grannis Rd, West Monroe, NY 13167-3119 2019-05-21
1508150277 Karen Sue Patch Physical Therapy Assistant 40 Omara Rd, West Monroe, NY 13167-3234 2011-05-30
1134437619 Mary Lou Dalton-zacharewski Licensed Practical Nurse 9 Wedgeworth Pt, West Monroe, NY 13167-3242 2010-09-19
1306006168 Roberta Francis Marafino Registered Nurse 1498 County Route 37, West Monroe, NY 13167-3254 2008-06-14
1376897975 Adam Richard Sharp Licensed Practical Nurse 1051 County Route 11, West Monroe, NY 13167-4158 2012-11-04

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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528478930 Jimmy Aaron Crosby Specialist 5324 Cypress St, Suite B, West Monroe, LA 71291-7694 2014-05-07
1629376736 Jerald Louis Ketchens Specialist 716 N 7th St, West Monroe, LA 71291-4212 2011-03-14
1881866044 Ann B Tubre, Lotr Specialist 226 Caldwell Rd, West Monroe, LA 71291-1627 2008-03-27
1629248455 Mwbot LLC Specialist 103 Roberta Dr, West Monroe, LA 71291-2125 2008-03-07
1821271917 William H Matthews, Md, LLC Specialist 102 Thomas Rd Ste 104, West Monroe, LA 71291-7365 2007-12-11
1770673568 Clarence Dunn Specialist 302 Mcmillan Rd, West Monroe, LA 71291-5324 2006-10-13
1871501338 Samer Noel Roy Specialist 102,thomas Road, Suit 504, West Monroe, LA 71291 2006-08-03
1700806767 Alyce R. Adams Specialist 3106 Cypress St, West Monroe, LA 71291-5203 2006-07-20
1356378590 Russell T Lolley Jr. Specialist 102 Thomas Rd., Ste 201, West Monroe, LA 71291-5547 2006-06-26
1679536247 Padgett Brooks Inc Specialist 2409 Arkansas Rd., West Monroe, LA 71291 2006-04-06
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Competitor

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City WEST MONROE
Zip Code 13167

Improve Information

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Dataset Information

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.

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