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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | $$$$$$$$$ | NY | Other Service Providers |
Street Address |
40 WOODY DR |
City | WEST MONROE |
State | NY |
Zip Code | 13167-4184 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134729734 | Devin K Richardson | Pharmacist | 113 Sam Dr, West Monroe, LA 71291-6978 | 2020-11-01 |
1023621398 | Sharon Mayree Colton | Nurse Practitioner | 5856 Jonesboro Rd, West Monroe, LA 71292-0373 | 2020-08-26 |
1457962805 | Whitney Joanne Scallan | Nurse Practitioner | 403 Teal Loop, West Monroe, LA 71291-9107 | 2020-08-10 |
1649880675 | Rebecca Hood | Nurse Practitioner | 801 Drago St, West Monroe, LA 71291-4323 | 2020-08-04 |
1417565615 | Bobby D Chelette | Nurse Practitioner | 181 Hat Creek Dr, West Monroe, LA 71292-1031 | 2020-07-14 |
1700404381 | Fresenius Medical Care Ouachita Home, LLC | Clinic/Center | 401 Thomas Rd Ste D, West Monroe, LA 71292-7902 | 2020-07-09 |
1346867785 | Lacresha Clay Earley | Nurse Practitioner | 132 Well Rd, West Monroe, LA 71291-9701 | 2020-07-01 |
1194341735 | Katherine C Dixon | Nurse Practitioner | 1390 Strozier Rd, West Monroe, LA 71291-8229 | 2020-06-19 |
1174149090 | Melissa Sue Brock | Nurse Practitioner | 139 Aaron Rd, West Monroe, LA 71292-3384 | 2020-06-17 |
1942825823 | Megan Danielle Pipes | Nurse Practitioner | 531 Harrell Rd, West Monroe, LA 71291-9739 | 2020-06-16 |
Find all providers in WEST MONROE |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
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. |
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 |
Find all providers in WEST MONROE |
City | WEST MONROE |
Zip Code | 13167 |
Please comment or provide details below to improve the information on MRS. BETHANY LYN PENROD.
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.