Ali N Penn
Nurse Practitioner (Family)

Address: 227 Valley View Dr, Waverly, OH 45690-9135
Phone: 7409477726

Ali N Penn (NPI# 1962749085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1962749085
Entity Type Individual
Full Name Ali N Penn
Credential CNP
Gender Female
Practice Address 227 Valley View Dr
Waverly
OH 45690-9135
Practice Telephone 7409477726
Practice Fax Number 7409479354
Mailing Address 941 Market St
Piketon
OH 45661-9757
Mailing Telephone 7402892371
Mailing Fax Number 7402894291
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2013-01-09
Last Update Date 2019-05-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers COA.13652-NP OH

Physician Overview

NPI 1962749085
PAC ID by PECOS 2365688025
Professional Enrollment ID I20130424001085
Full Name Ali N Penn
Organization Legal Name COMMUNITY ACTION COMMITTEE OF PIKE COUNTY
Phone Number 9375491270
Gender F
Graduation Year 2012
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 3173432762
Number of Group Practice Members 9
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360159 ADENA REGIONAL MEDICAL CENTER
361334 ADENA PIKE MEDICAL CENTER
360008 SOUTHERN OHIO MEDICAL CENTER

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033442520 April L. Mclevain Nurse Practitioner 4380 State Route 359, Waverly, KY 42462 2009-09-15
1477703155 Christie Madge King-patterson Nurse Practitioner 215b Holly Lane, Waverly, TN 37185 2008-09-30
1710038989 Jennifer Lee Gerber Nurse Practitioner 104 Hillwood Dr, Waverly, TN 37185-2116 2007-01-15
1548340078 Mary B. Davis Nurse Practitioner 725 Holly Ln, Waverly, TN 37185-3284 2006-10-17
1154353092 Memorial Clinic P.C. Nurse Practitioner 203 E Commerce St, Waverly, TN 37185-1629 2006-07-07
1346205796 Dorothy L Dighton Nurse Practitioner Missouri St & Hwy 24, Waverly, MO 64096 2006-04-19
1528027562 Nancy S. Kemp Nurse Practitioner 29 N Chemung St, Waverly, NY 14892-1211 2006-03-20
1285264630 Ellen Elizabeth Jacque Nurse Practitioner 312 9th St Sw, Waverly, IA 50677-2999 2020-01-23
1114571536 Ashlin Underwood Nurse Practitioner 301 W Main St, Waverly, TN 37185-1512 2019-07-25
1932672763 Nnebuisi Alaedu Nurse Practitioner 24427 Mussellwhite Dr, Waverly, VA 23891-2222 2019-01-03
Find all providers in WAVERLY

Office Location

Street Address 227 VALLEY VIEW DR
City WAVERLY
State OH
Zip Code 45690-9135

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093780462 Dona Haunani Sanders Advanced Practice Midwife 227 Valley View Dr, Waverly, OH 45690-9135 2006-02-21
1104471200 Rebecca E Hall Social Worker 227 Valley View Dr, Waverly, OH 45690-9135 2019-08-06
1750749586 Ashley Riley Registered Nurse 227 Valley View Dr, Waverly, OH 45690-9135 2016-02-08
1508282740 Amanda Elliott Counselor 227 Valley View Dr, Waverly, OH 45690-9135 2014-03-12
1144658527 Rebecca Brewster Nurse Practitioner 227 Valley View Dr, Waverly, OH 45690-9135 2013-10-23
1508204728 Janell D. Ison Psychiatry & Neurology 227 Valley View Dr, Waverly, OH 45690-9135 2013-06-10
1114107984 Communty Action Committe of Pike County Home Health 227 Valley View Dr, Waverly, OH 45690-9135 2007-11-09
1730239021 Ahmed M Mosalem Internal Medicine 227 Valley View Dr, Waverly, OH 45690-9135 2007-01-11
1891887790 Community Action Committee of Pike County Clinic/Center 227 Valley View Dr, Waverly, OH 45690-9135 2006-09-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225661168 Kyle Colley Counselor 14574 Us Hughway 23, Waverly, OH 45690 2020-02-19
1366082513 Ryan Rawlins Counselor 14574 St. Rt. 23, Waverly, OH 45690 2020-01-15
1700424140 Jaime Wooldridge Counselor 14532 St. Rt. 23, Waverly, OH 45690 2019-12-17
1518513415 Jacquelyn Irene Sprouse Counselor 217 Emmitt Ave, Waverly, OH 45690 2019-08-15
1639634850 Krista K Leeth Counselor 14532 Us Hwy 23, 14534 Us Hwy 23, Waverly, OH 45690 2019-02-01
1124598776 Lynn Marie Brown Counselor 14574 Us Hw 23, Waverly, OH 45690 2018-11-27
1881196244 Kevin Michael Reichert Counselor Pike County Recovery Council, 218 East North Street, Waverly, OH 45690 2018-03-01
1619483179 Ticia Lewis Counselor 14532 State Route 23, Waverly, OH 45690 2017-12-20
1205342136 Criston B Evans Licensed Practical Nurse 14532 Us Highway 23, Waverly, OH 45690 2017-12-14
1447763313 Jody Ryan Colley Counselor 14572 St. Rt. 23, Waverly, OH 45690 2017-11-14
Find all providers in zip 45690

Competitor

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City WAVERLY
Zip Code 45690

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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.