KATHERINE LEE PENTON (NPI# 1073126843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073126843 |
| Entity Type | Individual |
| Full Name | KATHERINE LEE PENTON |
| Credential | CPSS |
| Practice Address |
2331 Carey St Slidell LA 70458-3627 |
| Practice Telephone | 9856466406 |
| Practice Fax Number | 9856466460 |
| Mailing Telephone | 9856466406 |
| Mailing Fax Number | 9856466460 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
2331 CAREY ST |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922234566 | Felicia Ann Whiteman | Psychologist | 2331 Carey St, Slidell, LA 70458-3627 | 2009-06-10 |
| 1518573203 | Amanda Kehaulani White | Licensed Practical Nurse | 2331 Carey St, Slidell, LA 70458-3627 | 2020-09-18 |
| 1255944138 | Ashley Vonhadnagy | Peer Specialist | 2331 Carey St, Slidell, LA 70458-3627 | 2020-08-28 |
| 1578193603 | Dominique Ganier Dorsey | Nurse Practitioner | 2331 Carey St, Slidell, LA 70458-3627 | 2020-01-16 |
| 1821560186 | Stephanie Lynne Spilberger | Social Worker | 2331 Carey St, Slidell, LA 70458-3627 | 2018-12-27 |
| 1093233413 | Melissa Ellen Ray | Counselor | 2331 Carey St, Slidell, LA 70458-3627 | 2017-09-06 |
| 1417498536 | Josephine Bloemer | Mechanotherapist | 2331 Carey St, Slidell, LA 70458 | 2017-03-09 |
| 1891152906 | Cathy Davis | Nurse Practitioner | 2331 Carey St, Slidell, LA 70458-3627 | 2016-01-20 |
| 1861877557 | Shamecha Bender | Licensed Practical Nurse | 2331 Carey St, Slidell, LA 70458-3627 | 2015-07-23 |
| 1598194094 | Florida Parishes Human Services Authority | Community/Behavioral Health | 2331 Carey St, Slidell, LA 70458-3627 | 2013-11-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
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| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1083253603 | Sekenya Fleet | Peer Specialist | 118 Village Dr, Slidell, LA 70461-5228 | 2019-12-30 |
| 1386283208 | Lakea Johnson | Peer Specialist | 61429 N 7th St, Slidell, LA 70460-4681 | 2019-12-23 |
| 1255944138 | Ashley Vonhadnagy | Peer Specialist | 2331 Carey St, Slidell, LA 70458-3627 | 2020-08-28 |
| 1326660200 | Torrie Douglas | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2020-05-13 |
| 1104451434 | Tyeisha Lee | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2020-03-06 |
| 1528691094 | Nicole Taylor | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2020-02-12 |
| 1619509965 | Serena Chante Richard | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2020-02-05 |
| 1679105985 | Yolanda Richardson Davis | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2020-02-05 |
| 1003447137 | Clista Huber | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2020-01-28 |
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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.