Kathleen Penrod, APRN FNP-C is a
Nurse Practitioner - Family based in Cumberland City, Tennessee. Kathleen Penrod is licensed to practice in Tennessee (license number APN0000025042) and her current practice location is
407 Gunson Ridge Rd, Cumberland City, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(931) 627-1366.
NPI number for Kathleen Penrod is 1740758184 and her current mailing address is 407 Gunson Ridge Rd, Cumberland City, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740758184.
Provider's Profile
| Full Name | Kathleen Penrod |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 407 Gunson Ridge Rd, Cumberland City, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1740758184
- Provider Enumeration Date: 11/04/2018
- Last Update Date: 11/04/2018
Medical Identifiers
Medical identifiers for Kathleen Penrod such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740758184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | APN0000025042 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Penrod is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kathleen Penrod, APRN FNP-C
407 Gunson Ridge Rd,
Cumberland City, TN 37050-4377
Ph: (931) 627-1366 | Kathleen Penrod, APRN FNP-C
407 Gunson Ridge Rd,
Cumberland City, TN 37050-4377
Ph: (931) 627-1366 |
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