THERESA LOUISE PENNINGTON (NPI# 1720445463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720445463 |
| Entity Type | Individual |
| Full Name | THERESA LOUISE PENNINGTON |
| Credential | FNP-BC |
| Practice Address |
3100 Oak Grove Rd Poplar Bluff MO 63901-1573 |
| Mailing Address |
14030 Highway 160 Harviell MO 63945-8161 |
| Practice Telephone | 5737762600 |
| Mailing Telephone | 5737144228 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2016001340 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14030 Highway 160, Harviell, MO 639458161 | 5737144228 | |
| 3098 Oak Grove Rd, Poplar Bluff, MO 639018938 | 5737782600 |
| Street Address |
3100 OAK GROVE RD |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-1573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356305684 | Tirso J Aldana | Internal Medicine | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2006-04-13 |
| 1558985911 | Poplar Bluff Regional Medical Center LLC | Medicare Defined Swing Bed Unit | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2020-06-02 |
| 1073133237 | Poplar Bluff Regional Medical Center | Clinical Medical Laboratory | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2020-04-17 |
| 1568946515 | Carol Lee Pratt | Nurse Practitioner | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2018-09-15 |
| 1457842163 | Rachel Matthews | Social Worker | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2018-05-29 |
| 1669995155 | Stacy Lee Taylor | Registered Nurse | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2017-07-17 |
| 1700314010 | Miranda Krishna | Nurse Practitioner | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2017-05-31 |
| 1689110611 | Prachi Avinash Pophali | Internal Medicine | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2017-01-14 |
| 1588118020 | Abhishek Ambarisha Bhandiwad | Internal Medicine | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2016-08-13 |
| 1982056545 | Butler Physician Services, LLC | Pediatrics | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2016-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427364744 | Jody Beth Spain | Nurse Practitioner | 2210 Barron Rd Ste 211, Poplar Bluff, MO 63901-1908 | 2010-08-24 |
| 1558971937 | Tiffany Persons | Nurse Practitioner | 2400 Lucy Lee Pkwy Ste A, Poplar Bluff, MO 63901-2427 | 2020-07-31 |
| 1538788310 | Wendy Lynn Weston | Nurse Practitioner | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2020-04-13 |
| 1043874803 | Deirdre Stocks | Nurse Practitioner | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2019-04-26 |
| 1083181416 | Elizabeth Ann L'heureux | Nurse Practitioner | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2018-10-24 |
| 1174019798 | Jessica L Miller | Nurse Practitioner | 225 Physicians Park Ste 203, Poplar Bluff, MO 63901-3921 | 2018-07-06 |
| 1932625266 | Wendy Raney | Nurse Practitioner | 225 Physicians Park Ste 203, Poplar Bluff, MO 63901-3921 | 2017-08-18 |
| 1285157388 | Jessica Lynn Libla | Nurse Practitioner | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2017-07-20 |
| 1548793011 | Carrera Williams | Nurse Practitioner | 2340 Katy Ln, Poplar Bluff, MO 63901-2300 | 2017-04-11 |
| 1609309830 | Saint Francis Medical Center | Nurse Practitioner | 225 Physicians Park Ste 400, Poplar Bluff, MO 63901-3923 | 2017-04-05 |
| Find all providers in POPLAR BLUFF | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
Please comment or provide details below to improve the information on THERESA LOUISE PENNINGTON.
| 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.