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).
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 |
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619465895 | Renee Pennington | Clinical Nurse Specialist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2018-04-24 |
Street Address |
18697 BAGLEY RD |
City | CLEVELAND |
State | OH |
Zip Code | 44130-3417 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 44130 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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 |
Find all providers in CLEVELAND |
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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.