GARETH JOHN PENTA


Address: 1615 Delaware St, Longview, WA 98632-2367
Phone: 3606364836

GARETH JOHN PENTA (NPI# 1376167254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376167254
Entity Type Individual
Full Name GARETH JOHN PENTA
Credential ARNP
Practice Address 1615 Delaware St
Longview
WA 98632-2367
Mailing Address 1824 Hudson St
Longview
WA 98632-2926
Practice Telephone 3606364836
Enumeration Date 2020-06-05
Last Update Date 2020-06-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
ARNP.AP.61079484 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1615 DELAWARE ST
City LONGVIEW
State WA
Zip Code 98632-2367

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548264252 Lan N Pham Internal Medicine 1615 Delaware St, Longview, WA 98632-2367 2005-06-09
1629681127 Cole Taylor Dawson Pharmacist 1615 Delaware St, Longview, WA 98632-2367 2020-08-25
1760008908 Tanya Neely Registered Nurse 1615 Delaware St, Longview, WA 98632-2367 2020-06-23
1982227013 Crystal Ann Florek Nurse Practitioner 1615 Delaware St, Longview, WA 98632-2367 2020-05-22
1194356600 Tiffany Terry Nurse Practitioner 1615 Delaware St, Longview, WA 98632-2367 2020-02-03
1285274167 Jason Loren Whitney Nurse Practitioner 1615 Delaware St, Longview, WA 98632-2367 2020-01-08
1851857676 Garrett Michael Alan Harrison Case Manager/Care Coordinator 1615 Delaware St, Longview, WA 98632-2367 2019-02-17
1184192189 Katie Johnson Clinical Nurse Specialist 1615 Delaware St, Longview, WA 98632-2367 2018-11-07
1750864187 Brina Rayne Moh Physician Assistant 1615 Delaware St, Longview, WA 98632-2367 2018-09-11
1710466107 Allison Munkelwitz Speech-Language Pathologist 1615 Delaware St, Longview, WA 98632-2367 2018-08-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992366 Honor Senior Care LLC Home Health Aide 1135 3rd Ave, Ste S101, Longview, WA 98632 2020-11-03
1417416728 Sam Wise Dentist 1538 11th Ave Lowr Columbia, Longview, WA 98632 2019-03-16
1053870717 Matthew Johnson Physician Assistant 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 2019-03-12
1295205367 Abid Valji Occupational Therapist Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 2018-11-30
1184106437 Peacehealth Durable Medical Equipment & Medical Supplies Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 2018-09-04
1982186318 Linda Joan Mason Licensed Practical Nurse 1153 23rd Ave, Longview, WA 98632 2018-09-01
1891291910 Ellen Sumner Hornbeak Physical Therapist 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 2018-04-05
1700399961 Johnna Joyce Knapp Speech-Language Pathologist 2615 Lilac St, Longview, WA 98632 2017-11-09
1841711868 Deborah Annette Burzynski Registered Nurse 1057 12th Avenue, Longview, WA 98632 2017-06-29
1598291122 Cheyenne West Counselor 1616 10th Avenue, Longview, WA 98632 2017-05-02
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538789524 Nichelle Pierce Nurse Practitioner 1103 Jonquil Dr, Longview, TX 75601-4021 2020-04-20
1225023559 June S Longway Nurse Practitioner 720 14th Ave, Longview, WA 98632-2315 2005-09-13
1194356600 Tiffany Terry Nurse Practitioner 1615 Delaware St, Longview, WA 98632-2367 2020-02-03
1942770714 Tiffany Gayla Clendening Nurse Practitioner 410 N 4th St, Longview, TX 75601-6511 2018-12-04
1841765864 Tod C Peterson Nurse Practitioner 600 Broadway St, Longview, WA 98632-3256 2018-10-05
1407336977 Jennifer Michelle Wood Nurse Practitioner 700 E Marshall Ave, Longview, TX 75601-5580 2018-08-15
1902392871 Jeremiah R Sanders Nurse Practitioner 1300 N 6th St, Longview, TX 75601-5567 2018-07-03
1861917882 Roderick Jerome Williams Nurse Practitioner 600 Broadway St, Longview, WA 98632-3256 2017-08-10
1205386349 Robin Watson Nurse Practitioner 1300 N 6th St, Longview, TX 75601-5567 2016-10-13
1851676134 Jennifer Lee Angelo Nurse Practitioner 3211 N 4th St, Suite A, Longview, TX 75605-5145 2011-10-18
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Competitor

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City LONGVIEW
Zip Code 98632

Improve Information

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Dataset Information

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.

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