TERESA PENNINGTON (NPI# 1417453515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417453515 |
| Entity Type | Individual |
| Full Name | TERESA PENNINGTON |
| Credential | AGPCNP-BC |
| Practice Address |
500 Clinic Dr Cedar Bluff VA 24609-9406 |
| Mailing Address |
239 Addison Wolfe Dr Marion VA 24354-6585 |
| Practice Telephone | 2765969750 |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
0024175955 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 239 Addison Wolfe Dr, Marion, VA 243546585 | 2767598825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811123938 | Teresa Gail Pennington | Speech-Language Pathologist | 412 Woodland, Bryant, AR 72019-2469 | 2009-06-03 |
| 1538319900 | Teresa L Pennington | Counselor | 829 Halbert St, Malvern, AR 72104-2607 | 2008-09-23 |
| 1215935309 | Teresa Pennington | Registered Nurse | 24 N Main St, Petersburg, WV 26847-1518 | 2005-07-12 |
| Street Address |
500 CLINIC DR |
| City | CEDAR BLUFF |
| State | VA |
| Zip Code | 24609-9406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336636265 | Np Geriatric Adult Care LLC | Nurse Practitioner | 500 Clinic Dr, Cedar Bluff, VA 24609-9406 | 2018-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831669498 | Appalachian Agency for Senior Citizens, Inc | Non-emergency Medical Transport (VAN) | 164 College Ridge Road, Cedar Bluff, VA 24609 | 2018-11-27 |
| 1568930568 | Jerry Gray Gilchrist IIi | Private Vehicle | 308 College Estates Rd, Cedar Bluff, VA 24609 | 2018-11-07 |
| 1538575949 | At Home Personal Care | In Home Supportive Care | 2032 Cedar Valley Dr, Suite1, Cedar Bluff, VA 24609 | 2014-07-07 |
| 1124375217 | Billy Chad Mullins | Counselor | 216 College Ridge Rd., Cedar Bluff, VA 24609 | 2012-08-08 |
| 1124329388 | Healing Waters Counseling Center | Social Worker | 1113 Cedar Valley Dr., Cedar Bluff, VA 24609 | 2010-11-04 |
| 1154658854 | Bradley Todd Kinder | Counselor | 1100 Cedar Valley Drive, Suite 3, Cedar Bluff, VA 24609 | 2009-11-17 |
| 1447488796 | Thomas Luke Stillwell | Optometrist | 7831 Mountain Rd, Cedar Bluff, VA 24609 | 2009-06-25 |
| 1467698639 | Family Preservation Services, Inc | Community/Behavioral Health | 1089, Cedar Bluff, VA 24609 | 2008-12-18 |
| 1366614869 | Susan Renee Harris | Nurse Practitioner | 541 Community College Rd, Dickenson Hall, Cedar Bluff, VA 24609 | 2008-03-25 |
| 1841472040 | Roy C Gomez, Md, PC | Clinic/Center | 2308 Cedar Valley Drive, Cedar Bluff, VA 24609 | 2007-11-29 |
| Find all providers in zip 24609 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336636265 | Np Geriatric Adult Care LLC | Nurse Practitioner | 500 Clinic Dr, Cedar Bluff, VA 24609-9406 | 2018-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706597 | Martha Luz Alejandro-bird | Nurse Practitioner | 120 Kings Way Ste &3300, Williamsburg, VA 23185-2505 | 2020-09-28 |
| 1285240648 | Stephanie Williams Hatch | Nurse Practitioner | 304 Homestead Rd, Franklin, VA 23851-1345 | 2020-09-21 |
| 1346852639 | Britteny Nicole Stone-joel | Nurse Practitioner | 614 Rolfe Street, Hampton, VA 23661 | 2020-08-19 |
| 1093324469 | Grace A Odallo | Nurse Practitioner | 3441 Raytee Dr, Chesapeake, VA 23323-1230 | 2020-07-30 |
| 1558989186 | Olivia Brooke Wright | Nurse Practitioner | 2451 Midtown Ave Apt 1317, Alexandria, VA 22303-1437 | 2020-07-09 |
| 1467070342 | Amanda K Whitley | Nurse Practitioner | 401 Gordon Ave, Bristol, VA 24201-4106 | 2020-07-08 |
| 1194341792 | Tina Fulcher | Nurse Practitioner | 13300 Burley Ridge Ln, Chester, VA 23831-7119 | 2020-06-19 |
| 1366067373 | Luke Balmer | Nurse Practitioner | 3402 Upper Tillman Way, Powhatan, VA 23139-4349 | 2020-06-15 |
| 1174158539 | Monica Kristine Thompson | Nurse Practitioner | 6340 Miller Dr, Alexandria, VA 22315-3512 | 2020-03-05 |
| 1326670100 | Kristyn Dolores Fox | Nurse Practitioner | 830 Kempsville Rd Ste 2b223, Norfolk, VA 23502-3920 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR BLUFF |
| Zip Code | 24609 |
Please comment or provide details below to improve the information on TERESA PENNINGTON.
| 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.