AMBER DIANE PENNINGTON (NPI# 1649692922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649692922 |
| Entity Type | Individual |
| Full Name | AMBER DIANE PENNINGTON |
| Credential | FNP |
| Practice Address |
110 Medical Clinic Drive Vernon AL 35592 |
| Mailing Address |
P.o. Box 609 Vernon AL 35592 |
| Practice Telephone | 2056950106 |
| Practice Fax Number | 2056950502 |
| Mailing Telephone | 2056950106 |
| Mailing Fax Number | 2056950502 |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-121998 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275991390 | Amber Louise Pennington | Social Worker | 1425 John B White Blvd, Spartanburg, SC 29306-3919 | 2016-02-03 |
| Street Address |
110 MEDICAL CLINIC DRIVE |
| City | VERNON |
| State | AL |
| Zip Code | 35592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063848927 | Encore Rehabilitation, Inc. | Clinic/Center | 44992 Highway 17, Vernon, AL 35592 | 2013-09-23 |
| 1316276751 | Nancy R Kennedy | Counselor | 141 2nd Avenue, Nw, Vernon, AL 35592 | 2009-12-14 |
| 1164624086 | Lamar County | Local Education Agency (LEA) | 150 Butler Circle, Vernon, AL 35592 | 2007-06-04 |
| 1306964812 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 9574 Hwy 18, Vernon, AL 35592 | 2007-03-26 |
| 1609917707 | Lamar Home Care, Inc. | Home Health | 131 1st Ave. Nw, Suite B, Vernon, AL 35592 | 2007-02-09 |
| 1811066863 | Twin States Home Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 131 1st Avn. Nw, Vernon, AL 35592 | 2006-11-06 |
| 1669551677 | Larry Joe Whisenant | Dentist | 121 10th St Nw, Vernon, AL 35592 | 2006-11-02 |
| 1902814262 | Terry L Duke | Pharmacist | 170 5th Street Southwest, Vernon, AL 35592 | 2006-08-03 |
| 1992741284 | Robert William Davis | Family Medicine | 45020 Highway 17, Vernon, AL 35592 | 2006-06-22 |
| 1982691929 | John Powell Berry | Chiropractor | 47776 Highway 17, Vernon, AL 35592 | 2005-10-04 |
| Find all providers in zip 35592 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885021 | Mary Margaret Thompson | Nurse Practitioner | 4301 College Dr Rm 700, Vernon, TX 76384-3166 | 2020-09-11 |
| 1790251668 | Stephania N Dawiczyk | Nurse Practitioner | 520 Hartford Tpke Ste M, Vernon, CT 06066-5044 | 2018-10-18 |
| 1427532993 | Milos Tomic | Nurse Practitioner | 27 Naek Rd Ste 2, Vernon, CT 06066-3965 | 2018-09-20 |
| 1376052860 | Mary Hazel Brantley | Nurse Practitioner | 4301 College Dr Rm 400, Vernon, TX 76384-3166 | 2017-09-27 |
| 1992253090 | Crystal Mccoy | Nurse Practitioner | 44946 Highway 17, Vernon, AL 35592-3542 | 2016-09-17 |
| 1629462940 | Catherine Louise Francis | Nurse Practitioner | 30 Lafayette Sq Ste 109, Vernon, CT 06066-4554 | 2015-03-25 |
| 1437162583 | James Kelly | Nurse Practitioner | 554 Talcottville Rd, Vernon, CT 06066-2310 | 2006-08-13 |
| 1326095944 | Dawn Rene', Inc. | Nurse Practitioner | 3027 Main St, Post Office Box 829, Vernon, FL 32462-2220 | 2006-05-28 |
| 1215981667 | Dawn Rene Frost | Nurse Practitioner | 3027 Main Street, Vernon, FL 32462-2220 | 2006-05-20 |
| 1215988134 | Jill A Myers | Nurse Practitioner | 4857 State Route 5, Vernon, NY 13476-3530 | 2006-05-15 |
| Find all providers in VERNON | ||||
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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.