DEEDRA PENNINGTON (NPI# 1366742777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366742777 |
| Entity Type | Individual |
| Full Name | DEEDRA PENNINGTON |
| Credential | D.C. |
| Practice Address |
615 S Main St Ste A Corbin KY 40701-1469 |
| Practice Telephone | 6062612053 |
| Practice Fax Number | 6062612058 |
| Mailing Telephone | 6062612053 |
| Mailing Fax Number | 6062612058 |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2016-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5439 | KY | Chiropractic Providers |
| N | 225700000X | Massage Therapist | 0174 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
615 S MAIN ST STE A |
| City | CORBIN |
| State | KY |
| Zip Code | 40701-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164695706 | Tri County Chiropractic Center Inc | Chiropractor | 507 Us Highway 25 W, Corbin, KY 40701-4525 | 2008-04-03 |
| 1730385014 | D Patrick Brock Psc | Chiropractor | 1015 Master St, Corbin, KY 40701-1065 | 2007-06-25 |
| 1841362118 | Samuel T Combs Jr. | Chiropractor | 507 Us Hwy 25w S-1, Corbin, KY 40702 | 2006-11-14 |
| 1740374669 | Donald Patrick Brock | Chiropractor | 505 Master St, Corbin, KY 40701 | 2006-10-03 |
| 1598716276 | Sheri Faye Bingham | Chiropractor | 1707cumberland Falls Hwy, Upper Level #1, Corbin, KY 40701-2744 | 2006-05-15 |
| 1669850327 | Pennington Wellness LLC | Chiropractor | 615 S Main St, Suite A, Corbin, KY 40701-1469 | 2015-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023271 | Elizabeth Roth | Chiropractor | 3650 Boston Rd Ste 188, Lexington, KY 40514-1502 | 2020-11-04 |
| 1194332338 | Core Health Centers of Dry Ridge LLC | Chiropractor | 1113 Fashion Ridge Rd, Dry Ridge, KY 41035-9609 | 2020-09-30 |
| 1407461882 | Bryce Channing Fugate | Chiropractor | 511 Marsailles Rd, Versailles, KY 40383-1911 | 2020-09-11 |
| 1225667652 | Regency Chiropractic | Chiropractor | 171 W Lowry Ln Ste 164, Lexington, KY 40503-3006 | 2020-04-07 |
| 1447886247 | Matthew Scott Honchel | Chiropractor | 101 Citation Dr Ste A, Danville, KY 40422-9227 | 2020-03-12 |
| 1467087866 | Jenna Mekensie Turner | Chiropractor | 448 Lewis Hargett Cir Ste 220, Lexington, KY 40503-3596 | 2020-03-05 |
| 1376177956 | Spine Stop Glasgow, Pllc | Chiropractor | 1101 Cleveland Ave, Glasgow, KY 42141-1011 | 2020-02-24 |
| 1124650668 | Christina Ann Schlesinger | Chiropractor | 108 Cannons Ln, Louisville, KY 40206-2725 | 2020-02-12 |
| 1497387864 | Central City Chiropractic, Pllc | Chiropractor | 1731 W Everly Brothers Blvd, Central City, KY 42330-1833 | 2020-02-04 |
| 1942849179 | Tanner Evans | Chiropractor | 110b E 5th St, Benton, KY 42025-1118 | 2020-01-06 |
| Find all providers with the same taxonomy | ||||
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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.