MR. DOUGLAS R. PENINGTON


Address: 12717 S 28th Ave, Bellevue, NE 68123-3232
Phone: 4022926006

MR. DOUGLAS R. PENINGTON (NPI# 1679634588) 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) 1679634588
Entity Type Individual
Full Name MR. DOUGLAS R. PENINGTON
Credential NP
Practice Address 12717 S 28th Ave
Bellevue
NE 68123-3232
Practice Telephone 4022926006
Practice Fax Number 4022927465
Mailing Telephone 4022926006
Mailing Fax Number 4022927465
Enumeration Date 2006-12-13
Last Update Date 2017-10-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 110593 NE Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12717 S 28TH AVE
City BELLEVUE
State NE
Zip Code 68123-3232

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497276893 Hamilton Counseling Clinic/Center 12717 S 28th Ave, Bellevue, NE 68123-3232 2017-07-06
1497091888 Bellevue Primary Healthcare PC Clinic/Center 12717 S 28th Ave, Bellevue, NE 68123-3232 2012-12-12
1023392651 Roy W.holeyfield Jr. M.d. P.C. Internal Medicine 12717 S 28th Ave, Bellevue, NE 68123-3232 2011-09-30
1255611059 Kelli R. Pavlish Nurse Practitioner 12717 S 28th Ave, Bellevue, NE 68123-3232 2011-08-24
1871804385 Michael Jay Cooperman Physical Therapist 12717 S 28th Ave, Bellevue, NE 68123-3232 2010-06-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407482227 Gloria Pettigrew-fletcher Community Health Worker 12432 A 36th St, C20, Bellevue, NE 68123 2020-03-13
1225480676 Heidi Jean Mccoy Dentist 2110 Towne Centre Drive, Bellevue, NE 68123 2016-07-11
1538557442 Mariam Abdelghany I Physician Assistant 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 2014-12-30
1205243367 Sara Johnson Pharmacist 3614 Twin Creeks Drive, Bellevue, NE 68123 2014-07-21
1174826747 Francine Amy Drummond Dentist 1701 Independence Lane #22, Bellevue, NE 68123 2010-12-21
1053509588 Dunlow Orthodontics, P.C. Dentist 2219 Capehart Road, Suite 102, Bellevue, NE 68123 2007-10-10
1801911870 Michelle Lynn Gaeth Dentist 11536 S. 31st St., Bellevue, NE 68123 2007-03-20
1386789832 Mary Monique Rotert Psychologist 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 2007-02-21
1316084098 Kevin B Jones Family Medicine 3308 Samson Way Ste 102, Bellevue, NE 68123 2007-01-31
1467529727 Nebraska Medical Center Pharmacy 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 2006-11-29
Find all providers in zip 68123

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073111902 Hailey Marie Baker Nurse Practitioner 3055 112th Ave Ne Ste 201, Bellevue, WA 98004-2091 2020-10-13
1306458328 Geneva Paula Hoskins-dorsey Nurse Practitioner 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 2020-08-20
1649727348 Kelsey Tanaka Nurse Practitioner 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 2016-09-10
1841598448 Lifecare Family Medicine of Bellevue, PC Nurse Practitioner 2510 Bellevue Medical Center Dr # 145a, Bellevue, NE 68123-1520 2011-03-05
1194868406 Sherry Aanstad Nurse Practitioner 117 Ash St, Bellevue, ID 83313-5226 2007-02-15
1245394485 Christopher Craig Nurse Practitioner 16320 Se 15th St, Bellevue, WA 98008-5102 2006-12-21
1023029394 Kathryn S Deane Nurse Practitioner 1715 114th Ave Se, Suite 110, Bellevue, WA 98004-6945 2006-08-11
1245288869 Lynne B Vigesaa Nurse Practitioner 1260 116th Avenue Ne, Suite 100, Bellevue, WA 98004 2006-05-05
1518934199 Marcia Smith Gordon Nurse Practitioner 1632 116th Ave Ne, Suite B, Bellevue, WA 98004-3035 2006-03-02
1750996831 Hillary Suzanne Stark Nurse Practitioner 2510 Bellevue Medical Center Dr Ste 200, Bellevue, NE 68123-1520 2020-09-15
Find all providers in BELLEVUE

Competitor

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City BELLEVUE
Zip Code 68123

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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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