DR. JANICE MARION PENN (NPI# 1144297771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144297771 |
| Entity Type | Individual |
| Full Name | DR. JANICE MARION PENN |
| Credential | PHD |
| Practice Address |
4101 Barbara Loop Se Suite D Rio Rancho NM 87124-1009 |
| Practice Telephone | 5058923639 |
| Practice Fax Number | 5058926348 |
| Mailing Telephone | 5058923639 |
| Mailing Fax Number | 5058926348 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2012-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
R14768 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 98648 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962428029 | Janice M Penn | Nurse Practitioner | 1615 Maple Ln Ste 1, Essentia Health Ashland Clinic, Ashland, WI 54806-3610 | 2006-07-14 |
| Street Address |
4101 BARBARA LOOP SE SUITE D |
| City | RIO RANCHO |
| State | NM |
| Zip Code | 87124-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073908281 | Jacqueline Eva Willis | Nurse Practitioner | 4101 Barbara Loop Se, Suite D, Rio Rancho, NM 87124-1009 | 2015-04-03 |
| 1760421168 | Guidance Foundation Inc | Clinic/Center | 4101 Barbara Loop Se, Suite D, Rio Rancho, NM 87124-1009 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
| 1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
| 1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
| 1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
| 1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
| 1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
| 1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
| 1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
| 1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
| 1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
| Find all providers in zip 87124 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295863892 | Anita Briscoe | Clinical Nurse Specialist | 718 Adams St Ne, Albuquerque, NM 87110-6224 | 2007-03-02 |
| 1669501276 | Christine Trubic Huntley | Clinical Nurse Specialist | 813 Marie Park Dr Ne, Albuquerque, NM 87123-1718 | 2007-03-02 |
| 1558457309 | Annabelle X. Gutierrez Sisneros | Clinical Nurse Specialist | 1120 Industrial Park Rd, Suite 401, Espanola, NM 87532-0000 | 2006-10-05 |
| 1366467557 | Alice E Powsner | Clinical Nurse Specialist | 2128 Silver Ave Se, Albuquerque, NM 87106-4010 | 2006-07-12 |
| 1427022342 | Carolyn Earnest | Clinical Nurse Specialist | 1502 S Saint Francis Dr, Santa Fe, NM 87505-4040 | 2006-02-15 |
| 1891991535 | Ruth Elaine Rhoad | Clinical Nurse Specialist | 211 W Mesa Ave, Suite 4, Gallup, NM 87301-6382 | 2007-06-21 |
| 1669481933 | Nancy Rose Mahdavi | Clinical Nurse Specialist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2006-08-05 |
| 1780693036 | Dianne Green Kooi | Clinical Nurse Specialist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2006-08-05 |
| City | RIO RANCHO |
| Zip Code | 87124 |
Please comment or provide details below to improve the information on DR. JANICE MARION PENN.
| 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.