MRS. PENNIE LYNN MATHEWSON (NPI# 1396196267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396196267 |
| Entity Type | Individual |
| Full Name | MRS. PENNIE LYNN MATHEWSON |
| Credential | C.T. |
| Practice Address |
1309 Lawrence Rd Ne Canton OH 44705-1102 |
| Practice Telephone | 3303120433 |
| Mailing Telephone | 3303120433 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1309 LAWRENCE RD NE |
| City | CANTON |
| State | OH |
| Zip Code | 44705-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609395623 | Catherine Dana Tavares | Registered Nurse | 5321 Johnnycake Ridge Ne, Canton, OH 44705 | 2017-09-11 |
| 1790168706 | Vicki T Perrin | Home Health Aide | 3033 Endrow Ave Ne, Canton, OH 44705 | 2015-07-08 |
| 1679066542 | Atlantic Dme LLC | Durable Medical Equipment & Medical Supplies | 3501 Lesh St Ne, Canton, OH 44705 | 2018-06-14 |
| 1982262432 | Ciara A Davenport | Nurse's Aide | 809 Gibbs Ave Ne, Canton, OH 44705-1009 | 2019-05-30 |
| 1952790594 | Ivory Hollamon | Home Health Aide | 1209 Lippert Rd Ne, Canton, OH 44705-1019 | 2015-01-20 |
| 1003842196 | Lana May Butcher | Home Health Aide | 1219 Lippert Rd Ne, Canton, OH 44705-1019 | 2006-06-23 |
| 1124628896 | Asia Annette Everett | Home Health Aide | 918 Rowland Ave Ne, Canton, OH 44705-1064 | 2020-10-30 |
| 1043861982 | Ravon L. Wise | Home Health Aide | 1130 12th St Ne, Canton, OH 44705-1120 | 2019-09-23 |
| 1518412360 | Angels In Mission | In Home Supportive Care | 1043 Rowland Ave Ne, Canton, OH 44705-1166 | 2016-08-22 |
| 1386989226 | Tracey A Smith | Licensed Practical Nurse | 1210 15th St Ne, Canton, OH 44705-1208 | 2012-12-04 |
| Find all providers in zip 44705 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144867 | Jacquelyn Rain Kelly | Student in an Organized Health Care Education/Training Program | 325 Hillgrove Dr, Canton, GA 30114-8602 | 2020-08-17 |
| 1528686912 | Emily M Dochterman | Student in an Organized Health Care Education/Training Program | 28720 State Highway 16, Canton, MO 63435-3005 | 2020-07-11 |
| 1225654270 | Yuvraj Bhagat | Student in an Organized Health Care Education/Training Program | 43285 Stonington Ct, Canton, MI 48188-1786 | 2020-06-24 |
| 1568085348 | Janki Patel | Student in an Organized Health Care Education/Training Program | 1196 Canterbury Cir, Canton, MI 48187-3810 | 2020-05-27 |
| 1023630563 | Angad Preet Singh | Student in an Organized Health Care Education/Training Program | 2561 Knollwood Dr, Canton, MI 48188-2271 | 2020-05-06 |
| 1841828118 | Megha Trushar Patel | Student in an Organized Health Care Education/Training Program | 50800 Redding Ct, Canton, MI 48187-4451 | 2020-03-31 |
| 1427618727 | Michelle Mcneil | Student in an Organized Health Care Education/Training Program | 10 Hunter Ln, Canton, MA 02021-1731 | 2019-06-18 |
| 1962067157 | Moleca Mahmoud Ghannam | Student in an Organized Health Care Education/Training Program | 49918 Hancock St, Canton, MI 48188-6660 | 2019-05-03 |
| 1235696477 | Jordan Nameth | Student in an Organized Health Care Education/Training Program | 7444 Byron Ave Ne, Canton, OH 44721-1907 | 2019-02-25 |
| 1205311610 | Erika Marie Roschinsky | Student in an Organized Health Care Education/Training Program | 44757 Patrick Dr, Canton, MI 48187-2547 | 2018-10-02 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on MRS. PENNIE LYNN MATHEWSON.
| 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.