GENA PENN (NPI# 1154988814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154988814 |
| Entity Type | Individual |
| Full Name | GENA PENN |
| Credential | APRN |
| Practice Address |
1220 Willis Ave Daytona Beach FL 32114-2810 |
| Practice Telephone | 3862361769 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN11002526 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1220 WILLIS AVE |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740287747 | Catherine Virginia Root | Registered Nurse | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2005-07-05 |
| 1548806961 | Monique Evelyn | Counselor | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2019-11-20 |
| 1285270843 | Sarah Burrows | Social Worker | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2019-11-19 |
| 1841764123 | Robert Batie | Social Worker | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2019-01-19 |
| 1457835563 | Francesca Thomas | Counselor | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2018-09-24 |
| 1538662630 | Gina Alexandria Kopacki-birt | Counselor | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2018-03-14 |
| 1972006120 | Melissa J Eugley | Social Worker | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2018-03-14 |
| 1720589229 | Irene Talarico | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2018-02-21 |
| 1134667181 | Amy Beth Mcdonnell | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2017-02-09 |
| 1689110629 | Katy Ann Redel | Counselor | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2017-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464882 | Dane Huge | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2019-12-13 |
| 1720589229 | Irene Talarico | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2018-02-21 |
| 1205343126 | Roberta Marie Jones | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2017-12-30 |
| 1932624426 | Maryann Ethel Barrett | Nurse Practitioner | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2017-08-07 |
| 1134667181 | Amy Beth Mcdonnell | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2017-02-09 |
| 1811357262 | Erin Siatkowski | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2016-02-28 |
| 1619219375 | Marie Augustina Smith | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2013-03-20 |
| 1306175203 | Tananarieve P Brown | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2009-12-24 |
| 1417109919 | Margaret Fasano | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2008-10-15 |
| 1265690440 | Arthur Patrick Miller | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2008-05-24 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on GENA PENN.
| 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.