KATHLEEN ROSE PENMAN (NPI# 1710990668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710990668 |
| Entity Type | Individual |
| Full Name | KATHLEEN ROSE PENMAN |
| Credential | APNP |
| Practice Address |
10000 Brecksville Rd Building #2-22b Brecksville OH 44141-3204 |
| Mailing Address |
32540 Lake Rd Avon Lake OH 44012-1732 |
| Practice Telephone | 4405263030 |
| Mailing Telephone | 4409338668 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| 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 |
CTP 01576 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10000 BRECKSVILLE RD BUILDING #2-22B |
| City | BRECKSVILLE |
| State | OH |
| Zip Code | 44141-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538159744 | Mary Catherine Borovicka | Pharmacist | 10000 Brecksville Rd, Pharmacy Dept 119(b), Brecksville, OH 44141-3204 | 2005-10-27 |
| 1588964860 | Amy Maya Kamath | Speech-Language Pathologist | 10000 Brecksville Rd, Bldg. 6, Room A208, Brecksville, OH 44141-3204 | 2010-11-02 |
| 1265740146 | Lauren Marie Markan | Pharmacist | 10000 Brecksville Rd, Brecksville, OH 44141-3204 | 2010-09-14 |
| 1578876678 | John Stone | Social Worker | 10000 Brecksville Rd, Brecksville, OH 44141-3204 | 2010-07-16 |
| 1679886840 | Denise Marie Ciphers | Social Worker | 10000 Brecksville Rd, Brecksville, OH 44141-3204 | 2010-07-16 |
| 1699086736 | Dept. of Veteran Affairs | Community Based Residential Treatment Facility, Mental Illness | 10000 Brecksville Rd, Brecksville, OH 44141-3204 | 2010-06-23 |
| 1942528781 | Richard D'atri | Clinic/Center | 10000 Brecksville Rd, Pharmacy 119b, Brecksville, OH 44141-3241 | 2010-05-04 |
| 1750613659 | Jennifer Lynn Stircula | Pharmacist | 10000 Brecksville Rd, Brecksville, OH 44141-3204 | 2010-02-03 |
| 1972735769 | Susan Marie Ambrose | Social Worker | 10000 Brecksville Rd, Brecksville, OH 44141-3204 | 2009-08-13 |
| 1053548248 | Catherine Ann Rotolo | Social Worker | 10000 Brecksville Rd, 116a(b), Brecksville, OH 44141-3204 | 2009-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477035541 | Hannah L Barber | Speech-Language Pathologist | Therapy and Wellness Connection, 10245 Brecksville Rd, Brecksville, OH 44141 | 2018-09-05 |
| 1467970111 | Chelsea Kalynn Meng | Clinical Neuropsychologist | 8180 Brecksville Rd # 115, Brecksville, OH 44141 | 2017-09-01 |
| 1790206621 | Bryan James Holtsclaw | Occupational Therapy Assistant | 6638 Mill Rd, Cleveland, Oh, Brecksville, OH 44141 | 2017-06-30 |
| 1518410869 | Metrohealth System | Pharmacy | 9200 Treeworth Boulevard, Brecksville, OH 44141 | 2016-08-03 |
| 1881024230 | Fauzia Javaheri | Counselor | 8315 Settlers Pasge, Brecksville, OH 44141 | 2013-11-22 |
| 1669728473 | Pharmacy Specialty Group, LLC | Pharmacy | 6910 Treeline Dr Ste G, Brecksville, OH 44141 | 2012-07-30 |
| 1447497326 | Michelle Emch | Psychiatry & Neurology | 8827 Stover Ln, Brecksville, OH 44141 | 2009-01-14 |
| 1457508046 | Carol Michalak Janotta | Psychologist | 8221 Brecksville Rd., Suite #101, Brecksville, OH 44141 | 2008-08-26 |
| 1457514069 | Kathleen Selby | Occupational Therapist | 10000 Brecksville, Brecksville, OH 44141 | 2008-07-03 |
| 1538343561 | Jeffrey M Augustine | Optometrist | 6960 South Edgerton Road, Brecksville, OH 44141 | 2007-12-27 |
| Find all providers in zip 44141 | ||||
| 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 |
|---|---|---|---|---|
| 1265520373 | Anne Marie Dunn | Clinical Nurse Specialist | 10000 Brecksville Rd, Brecksville, OH 44141-3204 | 2006-10-11 |
| 1871680280 | Patricia Mary Tomcho | Clinical Nurse Specialist | 10000 Brecksville Rd, Brecksville, OH 44141-3204 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528408788 | Teri Ann Lieser | Clinical Nurse Specialist | 4974 Higbee Ave Nw Ste 209, Canton, OH 44718-2562 | 2013-07-02 |
| 1396996682 | Phyllis Jean Goldbach | Clinical Nurse Specialist | 401 Bounty Way Apt 209, Avon Lake, OH 44012-2479 | 2008-10-04 |
| 1467602276 | Christopher John Heather | Clinical Nurse Specialist | 975-a Kingsview Dr., Lebanon, OH 45036 | 2008-09-29 |
| 1417134313 | Donna R Laughlin | Clinical Nurse Specialist | 63 Baker Blvd., Akron, OH 44333-3601 | 2008-01-23 |
| 1740476548 | Grace Anastasia Herwig | Clinical Nurse Specialist | 26027 Cobblestone Way, Westlake, OH 44145-2459 | 2007-09-15 |
| 1992854756 | Angela Chesser | Clinical Nurse Specialist | 1670 Upham Dr., Columbus, OH 43210-1250 | 2007-01-10 |
| 1346310687 | Lori Sue Gozdowski | Clinical Nurse Specialist | 1425 Starr Ave., Toledo, OH 43605-1000 | 2006-11-08 |
| 1962580563 | Ellen Doreen Alaimo | Clinical Nurse Specialist | 3167 Fulton Rd, 105, Cleveland, OH 44109-1465 | 2006-11-01 |
| 1619058294 | Caryl A. Eyre | Clinical Nurse Specialist | 2612 Guilford Rd, Cleveland Heights, OH 44118-4108 | 2006-10-18 |
| 1033225404 | Susan Elizabeth Phillips | Clinical Nurse Specialist | 1260 Monroe Avenue, Suite 15h, New Philadelphia, OH 44663 | 2006-08-21 |
| Find all providers with the same taxonomy | ||||
| City | BRECKSVILLE |
| Zip Code | 44141 |
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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.