LAURA KETTLE PENKAVA (NPI# 1962745315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962745315 |
| Entity Type | Individual |
| Full Name | LAURA KETTLE PENKAVA |
| Credential | CRNP |
| Practice Address |
7191 Cahaba Valley Rd Suite 300 Birmingham AL 35242-6402 |
| Mailing Address |
323 Gran Ave Birmingham AL 35209 |
| Practice Telephone | 2059959909 |
| Practice Fax Number | 2059302063 |
| Mailing Telephone | 2566944288 |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2015-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1-126161 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | CRNP | 1-126161 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972830321 | Laura E Penkava | Respiratory Therapist, Registered | 1135 Dale St Se, Suite C, Albany, OR 97322-5392 | 2009-11-05 |
| Street Address |
7191 CAHABA VALLEY RD SUITE 300 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35242-6402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669467288 | Cornelius Robinson Meadows | Emergency Medicine | 7191 Cahaba Valley Rd, Suite 300, Birmingham, AL 35242-6402 | 2005-09-20 |
| 1275166944 | Patrick Wallace Culotta | Physical Therapist | 7191 Cahaba Valley Rd, Birmingham, AL 35242-6443 | 2020-02-20 |
| 1164959250 | Mariah Cloud Stewart | Dietitian, Registered | 7191 Cahaba Valley Rd, Birmingham, AL 35242-6443 | 2017-05-19 |
| 1124555313 | Catherine Ghossein | Dietitian, Registered | 7191 Cahaba Valley Rd, Birmingham, AL 35242 | 2017-05-18 |
| 1235665266 | Jessica Ivey | Nutritionist | 7191 Cahaba Valley Rd, Birmingham, AL 35242-6443 | 2017-05-11 |
| 1740716596 | Michelle Terrell | Physical Therapist | 7191 Cahaba Valley Rd, Birmingham, AL 35242-6443 | 2017-05-11 |
| 1265803290 | Orthosports Associates, LLC | Orthopaedic Surgery | 7191 Cahaba Valley Rd, Suite 100b, Birmingham, AL 35242-6402 | 2015-10-16 |
| 1962806828 | Miyoushi Simpson | Specialist | 7191 Cahaba Valley Rd, Birmingham, AL 35242-6402 | 2014-10-21 |
| 1609293299 | Erica Touchstone | Nurse Practitioner | 7191 Cahaba Valley Rd, Suite 300, Birmingham, AL 35242-6402 | 2014-03-21 |
| 1689001067 | Clinton Plastic Surgery, LLC | Clinic/Center | 7191 Cahaba Valley Rd, 200, Birmingham, AL 35242-6402 | 2013-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
| 1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
| 1447894175 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 3201 Endeavor Lane, Vestavia Hills, AL 35242 | 2019-11-06 |
| 1952956468 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 6219 Tattersall Blvd., Hoover, AL 35242 | 2019-08-02 |
| 1033670120 | Rachel Monahan -patterson | Registered Nurse | 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 | 2019-03-29 |
| 1891283818 | Elizabeth Mcrae | Counselor | 150 Glenwood Lane, Birmingham, AL 35242 | 2018-04-25 |
| 1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
| 1922526557 | Sarah Katherine Fleming | Specialist/Technologist | 1524 Southern Drive, Birmingham, AL 35242 | 2017-09-04 |
| Find all providers in zip 35242 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053802009 | Konda Keebler | Nurse Practitioner | 7001 Crestwood Blvd/suite 804, Birmingham, AL 35210 | 2018-05-25 |
| 1619495348 | Hayley Graham Entrekin | Nurse Practitioner | 500 22nd St S Ste 506, Birmingham, AL 35233-3110 | 2017-09-01 |
| 1952851669 | Holly Marie Strauss | Nurse Practitioner | 1791 Cahaba Valley Rd, Birmingham, AL 35242 | 2016-10-05 |
| 1548653405 | Natalie Mcrae | Nurse Practitioner | 619 19th St S # Wpp333, Birmingham, AL 35249-6979 | 2015-03-16 |
| 1184851966 | Barbara A Boreen | Nurse Practitioner | 833 Saint Vincents Dr Ste 501, Pob IIi, Birmingham, AL 35205-1619 | 2009-06-18 |
| 1538269618 | Natalie Alicia Floyd | Nurse Practitioner | 700 19th Street South, Birmingham, AL 35233 | 2006-09-25 |
| 1144263898 | Amanda Couch Crawford | Nurse Practitioner | 701 Princeton Ave Sw Ste 4102, Birmingham, AL 35211-1303 | 2006-06-13 |
| 1013484278 | Rebecca Elizabeth Smith | Nurse Practitioner | 1400 6th Ave S, Birmingham, AL 35233-1502 | 2018-10-25 |
| 1588158877 | Samantha Diane Williams | Nurse Practitioner | 832 Princeton Ave Sw, Birmingham, AL 35211-1320 | 2018-06-19 |
| 1164969531 | Haley Dye Lacey | Nurse Practitioner | 1700 6th Ave S, Birmingham, AL 35233-1802 | 2017-01-24 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35242 |
Please comment or provide details below to improve the information on LAURA KETTLE PENKAVA.
| 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.