MRS. TABITHA DAWN PENA (NPI# 1457722142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457722142 |
| Entity Type | Individual |
| Full Name | MRS. TABITHA DAWN PENA |
| Other Name | MS. TABITHA DAWN HARRIS |
| Credential | FNP-C |
| Practice Address |
113 N Chestnut St Ste 100 Seymour IN 47274-2190 |
| Mailing Address |
8003 Castleway Dr Indianapolis IN 46250-1946 |
| Practice Telephone | 8125248388 |
| Mailing Telephone | 3175761335 |
| Mailing Fax Number | 8443971311 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2018-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
28180971A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
113 N CHESTNUT ST STE 100 |
| City | SEYMOUR |
| State | IN |
| Zip Code | 47274-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659997658 | Sheila Jo Green | Dental Hygienist | 113 N Chestnut St Ste 100, Seymour, IN 47274-2190 | 2020-06-25 |
| 1184095861 | Yvonne Carmela Lucas | Nurse Practitioner | 113 N Chestnut St Ste 100, Seymour, IN 47274-2190 | 2015-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850102 | Alyssa Gorbett | Counselor | 320 Bruce St. Suite C, Seymour, IN 47274 | 2020-10-30 |
| 1871123562 | Kathy Jo Passereni | Pharmacist | 1541 Tipton St, Seymour, IN 47274 | 2020-01-22 |
| 1750886966 | Cassie Hackman | Registered Nurse | 6940 E County Road 50 N, Seymour, IN 47274 | 2018-03-28 |
| 1710327994 | Derek L Garcia | Dentist | 321 W Bruce St Ste A, Seymour, IN 47274 | 2013-07-02 |
| 1922349596 | Lisa Marie Lindsay Snow | Pediatrics | Schneck Pediatrics, 411 West Tipton Street, Seymour, IN 47274 | 2013-03-07 |
| 1750670733 | David Ryan Stone | Internal Medicine | 411 West Tipton Street, Seymour, IN 47274 | 2011-03-30 |
| 1518261254 | Peggy Jo Bowman | Social Worker | 1725 E. Tipton St., Ste 200, Seymour, IN 47274 | 2011-01-10 |
| 1174839054 | Matthew C Wilson | Family Medicine | Schneck Primary Care - Jackson Park, 1124 Medical Place, Seymour, IN 47274 | 2010-08-30 |
| 1346564390 | Emanuel Eugene Nearing II | Surgery | Schneck Surgical Associates, 411 West Tipton Street, Seymour, IN 47274 | 2010-03-19 |
| 1821320870 | Holly Lee Berry | Nurse Practitioner | 120 St. Louis Ave., Seymour, IN 47274 | 2010-02-02 |
| Find all providers in zip 47274 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609437391 | Mindy Brock | Nurse Practitioner | 1240 E 4th Street Rd Ste C, Seymour, IN 47274-1996 | 2019-06-24 |
| 1417428921 | Regional Services | Nurse Practitioner | 625 E Center St, Seymour, MO 65746 | 2018-12-10 |
| 1750866430 | Heather Ellen Metzger | Nurse Practitioner | 1202 E Tipton St, Seymour, IN 47274-3540 | 2018-09-28 |
| 1669952354 | Roger Duane Thomas | Nurse Practitioner | 222 Shenandoah Dr, Seymour, TN 37865-5823 | 2018-08-21 |
| 1376080960 | Lindsey Beard | Nurse Practitioner | 411 Water Oak Dr, Seymour, TN 37865-3417 | 2017-01-21 |
| 1396298824 | Kevin Westley Jinks | Nurse Practitioner | 820 Mountain Grove Ln, Seymour, TN 37865-4491 | 2016-08-02 |
| 1235507435 | Michelle L Currier | Nurse Practitioner | 11518 Chapman Hwy, Seymour, TN 37865-5044 | 2015-09-04 |
| 1447627120 | Amanda Sherrod | Nurse Practitioner | 411 Illinois Ave, Seymour, TN 37865-4699 | 2015-08-28 |
| 1548581176 | Douglas W Downs | Nurse Practitioner | 325 E Forrest Rd, Seymour, MO 65746-6174 | 2010-06-17 |
| 1821320870 | Holly Lee Berry | Nurse Practitioner | 120 St. Louis Ave., Seymour, IN 47274 | 2010-02-02 |
| Find all providers in SEYMOUR | ||||
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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.