MS. MARY CATHARINE PENN (NPI# 1861488546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861488546 |
| Entity Type | Individual |
| Full Name | MS. MARY CATHARINE PENN |
| Credential | ARNP |
| Practice Address |
197 Deltona Blvd Saint Augustine FL 32086-7354 |
| Mailing Address |
197 Deltona Blvd St Augustine FL 32086 |
| Practice Telephone | 9046863932 |
| Practice Fax Number | 9046863933 |
| Mailing Telephone | 9046863932 |
| Mailing Fax Number | 9046863933 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2011-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2849942 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 3050408-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346460284 | Mary J Penn | Physical Therapist | 6585 S Yale Ave Ste 445, Tulsa, OK 74136-9703 | 2007-04-25 |
| 1710532569 | Mary Catherine Penn | Social Worker | 1512 E Franklin St Ste 100, Chapel Hill, NC 27514-2816 | 2019-08-08 |
| 1104253798 | Mary Penn | Social Worker | 564 6th St, San Francisco, CA 94103-4708 | 2013-09-27 |
| Street Address |
197 DELTONA BLVD |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip Code | 32086-7354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737598 | Gabriela Elena Fratila | Nurse Practitioner | 367 Los Caminos St, Saint Augustine, FL 32095-7415 | 2020-07-10 |
| 1780214767 | Chastity Haltam | Nurse Practitioner | 113 Islander Dr, Saint Augustine, FL 32080-6001 | 2020-01-18 |
| 1073094314 | Stephanie Digirolamo | Nurse Practitioner | 167 Silver Glen Ave, Saint Augustine, FL 32092-2468 | 2018-08-24 |
| 1154856037 | Michelle Kessler | Nurse Practitioner | 72 Honey Branch Ln, Saint Augustine, FL 32092-0822 | 2017-04-27 |
| 1205207420 | Ana Greenberger | Nurse Practitioner | 1301 Plantation Island Dr S Ste 401, Saint Augustine, FL 32080 | 2015-10-14 |
| 1366812380 | Kelly Witbeck | Nurse Practitioner | 1235 Stonehedge Trail Ln, Saint Augustine, FL 32092-1061 | 2015-10-02 |
| 1063817948 | Eli Billeter | Nurse Practitioner | 128 Moultrie Crossing Ln, Saint Augustine, FL 32086-5242 | 2014-11-04 |
| 1346644572 | Marla Ruth Capes | Nurse Practitioner | 559 W Twincourt Trl Unit 604, Saint Augustine, FL 32095-8805 | 2014-10-17 |
| 1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
| 1841623386 | Kristyn Alease Miller | Nurse Practitioner | 5001 Clayton Ct, Saint Augustine, FL 32092-3688 | 2013-08-20 |
| Find all providers in SAINT AUGUSTINE | ||||
| City | SAINT AUGUSTINE |
| Zip Code | 32086 |
Please comment or provide details below to improve the information on MS. MARY CATHARINE PENN.
| 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.