RENEE DIANE PENNINGTON


Address: 18697 Bagley Rd, Cleveland, OH 44130-3417
Phone: 4408166440

RENEE DIANE PENNINGTON (NPI# 1306098348) 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) 1306098348
Entity Type Individual
Full Name RENEE DIANE PENNINGTON
Credential PMHNP-BC
Practice Address 18697 Bagley Rd
Cleveland
OH 44130-3417
Mailing Address Po Box 638269
Cincinnati
OH 45263-0001
Practice Telephone 4408166440
Mailing Telephone 4408166440
Enumeration Date 2008-10-22
Last Update Date 2013-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
NP-10349 OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH REGISTERED NURSE RN. 316598-COA1 01
OH CERTIFICATE OF AUTHORITY COA. 10349-NP 01
OH CERTIFICATE TO PRESCRIBE-EXTERNSHIP RX. 10349-EX1 01

Other Providers RENEE PENNINGTON

NPI Name Taxonomy Address Enumeration
1619465895 Renee Pennington Clinical Nurse Specialist 2500 Metrohealth Dr, Cleveland, OH 44109-1900 2018-04-24

Office Location

Street Address 18697 BAGLEY RD
City CLEVELAND
State OH
Zip Code 44130-3417

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538166731 Dave James Ferris Pharmacist 18697 Bagley Rd, Cleveland, OH 44130-3417 2005-07-01
1386265825 Joseph E Guidos IIi Pharmacist 18697 Bagley Rd, Cleveland, OH 44130-3417 2020-05-06
1619436797 Ann Marie Vance Garvey Physical Therapist 18697 Bagley Rd, Cleveland, OH 44130-3417 2019-03-18
1649788746 Kathleen Margaret Mccurdy Nurse Practitioner 18697 Bagley Rd, Cleveland, OH 44130-3417 2018-01-11
1417498304 Leah Schiely Physician Assistant 18697 Bagley Rd, Cleveland, OH 44130-3417 2017-03-13
1639610702 Southwest General Medical Group Physician Assistant 18697 Bagley Rd, Cleveland, OH 44130-3417 2017-03-09
1306396866 Devin Johnson Physical Therapist 18697 Bagley Rd, Cleveland, OH 44130-3417 2016-10-09
1902350622 Jodi Steinbrenner Nurse Practitioner 18697 Bagley Rd, Cleveland, OH 44130-3417 2016-08-10
1235503954 Alison R Henton Clinical Nurse Specialist 18697 Bagley Rd, Cleveland, OH 44130-3417 2015-11-18
1740608306 Southwest General Health Center Nurse Practitioner 18697 Bagley Rd, Cleveland, OH 44130-3417 2014-04-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912545427 Northeast Care Center, Inc. Intermediate Care Facility, Mentally Retarded 19080 Bagley Road, Middleburg Hts., OH 44130 2019-12-16
1982189148 Carl Steinhoff Registered Nurse 13766 Cherokee Trail, Middleburg Heights, OH 44130 2018-10-03
1649756321 Beatrice Shepherd Counselor 5253 Hauserman Rd Apt 212, Parma, OH 44130 2018-07-16
1841705068 New Heights Aba, LLC Behavioral Analyst 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 2017-12-11
1275059842 Tynisha Nicole Nation Registered Nurse 6431 Olde York, Parma Hts, OH 44130 2017-08-16
1609328558 Lisa Wolanin Physical Therapist 186970bagley Road, Middleburg Hts, OH 44130 2016-10-26
1184074205 Tanya Makowski Nurse Practitioner 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 2016-06-20
1093165706 Dana Hyde Dentist 7528 Pearl Rd, Middleburg Heights, OH 44130 2016-06-14
1689046625 Kimberly Ann Piro Nurse Practitioner 12240 Zona Ln, Parma, OH 44130 2015-10-29
1225400088 Larrise Williford Registered Nurse 11491 Sharon Dr Apt C705, Parma, OH 44130 2015-10-20
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689285025 Blooming Springs Mental Health & Wellness LLC Nurse Practitioner 11459 Mayfield Rd Ste 320, Cleveland, OH 44106-2363 2020-08-10
1326665902 Martine Pyram Nurse Practitioner 2222 Detroit Ave Apt 704, Cleveland, OH 44113-2458 2020-06-30
1316598170 Jillian Leigh Spring Nurse Practitioner 6835 Broadway Ave Rm 1009, Cleveland, OH 44105-1313 2019-09-24
1962061473 George K Mcbride Nurse Practitioner 1723 Mount Vernon Dr Nw, Cleveland, TN 37311-3539 2019-06-08
1477017002 Rachel Ehret Nurse Practitioner 7911 Detroit Ave, Cleveland, OH 44102-2815 2019-01-28
1679069330 Meghan Baron Nurse Practitioner 10524 Euclid Ave Ste 185, Cleveland, OH 44106-2205 2018-07-06
1952804692 Lashara Colvin Nurse Practitioner 2500 Metrohealth Dr Dept Of, Cleveland, OH 44109-1900 2018-03-08
1982051728 Paige Ann Sullivan Nurse Practitioner 2700 Westside Dr Nw Ste 204, Cleveland, TN 37312 2016-05-23
1104206796 Jeffrey Sims Nurse Practitioner 13402 Kinsman Rd, Cleveland, OH 44120-4410 2015-06-09
1760762405 Kimberly Ann Sanders Nurse Practitioner 4269 Pearl Road, Cleveland, OH 44109 2011-08-25
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Competitor

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City CLEVELAND
Zip Code 44130

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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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