PENNE PERRY DRAKE (NPI# 1730514191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730514191 |
| Entity Type | Individual |
| Full Name | PENNE PERRY DRAKE |
| Other Name | PENNE S PERRY |
| Credential | APN |
| Practice Address |
6215 Humphreys Blvd Ste 301 Memphis TN 38120 |
| Mailing Address |
965 Ridge Lake Blvd Ste 103 Memphis TN 38120-9446 |
| Practice Telephone | 9012264714 |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 17921 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
17921 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11816 Milbern Dr, Potomac, MD 208543526 | 2563472454 |
| Street Address |
6215 HUMPHREYS BLVD STE 301 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1972928729 | Mary Claire Harlow | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120-2382 | 2014-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| 1700101441 | Zachary Corr | Urology | 6029 Walnut Grove Rd Ste 300, Memphis, TN 38120 | 2010-04-06 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683453 | Monique Kyles | Nurse Practitioner | 148 Marrakesh Cir, Memphis, TN 38103-5830 | 2020-09-09 |
| 1295350361 | Amber Rose King | Nurse Practitioner | 439 N Graham St, Memphis, TN 38122-3831 | 2020-06-14 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1730568650 | Erin Burke | Nurse Practitioner | 262 Danny Thomas Place-mail Stop 260, Memphis, TN 38103 | 2015-05-26 |
| 1427443142 | Jamila Shani Smith-young | Nurse Practitioner | 51 N Dunlap #400, Memphis, TN 38103 | 2015-03-31 |
| 1457788606 | Lindsey Nicole Locke | Nurse Practitioner | 848 Adams Street, Memphis, TN 38103 | 2013-10-02 |
| 1851667992 | Brenda Hill | Nurse Practitioner | 920 Madison Ave, Suite 513, Memphis, TN 38163-2120 | 2012-03-22 |
| 1851378525 | Mindy J Lipson | Nurse Practitioner | 5293 S Angela Rd, Memphis, TN 38120-2203 | 2005-12-23 |
| 1609853381 | Kimberly E Proctor | Nurse Practitioner | 332 N Lauderdale St., Ms 133, Memphis, TN 38105-2794 | 2005-12-23 |
| 1528679651 | Heather Leigh Leland | Nurse Practitioner | 8071 Winchester Rd, Memphis, TN 38125-8206 | 2020-08-12 |
| Find all providers in MEMPHIS | ||||
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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.