KATHRYN PENTICO (NPI# 1356895155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356895155 |
| Entity Type | Individual |
| Full Name | KATHRYN PENTICO |
| Other Name | KATHRYN PRIMM |
| Credential | CPNP-PC |
| Practice Address |
5505 Edmondson Pike #104 Nashville TN 37211-5872 |
| Practice Telephone | 6153315898 |
| Mailing Telephone | 6153315898 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2019-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
21521 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5505 EDMONDSON PIKE #104 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37211-5872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245238567 | Charles Austin Mitchell IIi | Internal Medicine | 5505 Edmondson Pike, 10, Nashville, TN 37211-5872 | 2005-07-11 |
| 1841700903 | Truth Empowered Counseling and Wellness | Clinic/Center | 5505 Edmondson Pike, Nashville, TN 37211-5872 | 2017-10-03 |
| 1578000337 | Nicholas Roberson | Occupational Therapist | 5505 Edmondson Pike, Suite 103, Nashville, TN 37211-5872 | 2017-01-31 |
| 1720523319 | Brittany Richardson | Physical Therapist | 5505 Edmondson Pike, Suite 103, Nashville, TN 37211-5872 | 2017-01-05 |
| 1356895924 | Lisa Farrar | Physical Therapist | 5505 Edmondson Pike, Suite 103, Nashville, TN 37211-5872 | 2016-08-11 |
| 1134570682 | Margarita Norina Weatherman | Physical Therapist | 5505 Edmondson Pike, Suite 103, Nashville, TN 37211-5872 | 2016-06-27 |
| 1871949420 | Abby J Conrady | Physical Therapist | 5505 Edmondson Pike, Suite 103, Nashville, TN 37211-5872 | 2016-05-12 |
| 1720451917 | Chelsea Lauren Matthews | Physical Therapist | 5505 Edmondson Pike, Suite 103, Nashville, TN 37211-5872 | 2015-11-10 |
| 1184095143 | Marissa Smith | Physical Therapist | 5505 Edmondson Pike, Ste 103, Nashville, TN 37211-5872 | 2015-10-15 |
| 1841667904 | Emily G Logan | Physical Therapist | 5505 Edmondson Pike, Ste. 103, Nashville, TN 37211-5872 | 2015-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778566 | Results-ast Jv, LLC | Physical Therapist | 4909 Nolensville Road, Nashville, TN 37211 | 2020-10-21 |
| 1467079111 | Jennifer Rose Shin | Pharmacist | 15588 Old Hickory Blvd, Nashville, TN 37211 | 2020-06-29 |
| 1114544046 | Empoweru Therapy, LLC | Physical Therapist | 6632 Sugar Valley Dr, Nashville, TN 37211 | 2020-06-26 |
| 1023654415 | Kharis Care LLC | Registered Nurse | 4013 Travis Drive Suite 210, Nashville, TN 37211 | 2019-11-21 |
| 1568932143 | Irena Tatom | Counselor | 404 Bna Dr. Suite 110, Nashville, TN 37211 | 2018-11-27 |
| 1922590009 | Brentwood Springs Detox | Substance Abuse Rehabilitation Facility | 5935 Edmondson Pike, Nashville, TN 37211 | 2018-06-04 |
| 1912406901 | Peace By Piece Aba Therapy & Behavioral Services | Behavioral Analyst | 410 Central Pike, Suite 306, Nashville, TN 37211 | 2018-02-06 |
| 1437661980 | Sara Sanfilippo Meehan | Nurse Practitioner | 397 Wallace Rd Ste 407, Nashville, TN 37211 | 2017-10-24 |
| 1215455571 | Royal Care Transportation | Non-emergency Medical Transport (VAN) | 600 Whispering Hills Dr, Apt# L12, Nashville, TN 37211 | 2017-09-06 |
| 1659800936 | Ashley Wheeler | Behavior Technician | 2404 Rollett Ct., Nashville, TN 37211 | 2017-06-08 |
| Find all providers in zip 37211 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416330 | Laura Jean Schmid | Nurse Practitioner | 2200 Childrens Way Ste 3103, Nashville, TN 37232-0034 | 2020-10-27 |
| 1487298634 | Madison Hatfield | Nurse Practitioner | 2200 Childrens Way Fl 8, Nashville, TN 37232-0005 | 2019-10-31 |
| 1013559210 | Lynn Nguyen | Nurse Practitioner | 2400 Charlotte Ave Apt 123, Nashville, TN 37203-2394 | 2019-10-09 |
| 1205208329 | Emilie Stauffer | Nurse Practitioner | 5505 Edmondson Pike Ste 104, Nashville, TN 37211-5869 | 2015-10-28 |
| 1255702734 | Allison Oldacre Griffin | Nurse Practitioner | Center for Child Development, 2200 Children's Way - Doctor's Office Tower, 9th Floor, Nashville, TN 37232-0001 | 2015-10-09 |
| 1326437120 | Kelly Leigh Peterson | Nurse Practitioner | 2200 Childrens Way Monroe Carell Jr, Doctor's Office Tower, 7th Floor, Suite 7100, Nashville, TN 37232-0001 | 2015-01-16 |
| 1992100291 | Trinity J Boone | Nurse Practitioner | 2200 Childrens Way # 10142, Nashville, TN 37232-3234 | 2014-10-29 |
| 1033358460 | Sharon Y Fleming | Nurse Practitioner | 1460 Mcgavock Pike, Nashville, TN 37216-3225 | 2009-02-09 |
| 1588815658 | Jennifer Bowers Stevens | Nurse Practitioner | 11101 Dot, 2200 Childrens Way, Nashville, TN 37232-0005 | 2008-10-07 |
| 1215199146 | Natalie Nicole Owen | Nurse Practitioner | Dd-2205 Medical Ctr N, Nashville, TN 37232-2578 | 2008-07-01 |
| Find all providers in NASHVILLE | ||||
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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.