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LYNN BERNAIRD PENNINGTON FNP NPI 1720087828


NPI Information

NPI: 1720087828
Provider Name: LYNN BERNAIRD PENNINGTON, FNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
5247 DIDESSE DR
BATON ROUGE, LA
ZIP 70808
Phone: (225) 765-3076
Get Directions

Lynn Bernaird Pennington, FNP is a gerontology nurse practitioner in Baton Rouge, LA. Lynn Bernaird Pennington, FNP NPI is 1720087828. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5247 DIDESSE DR
BATON ROUGE, LA
ZIP 70808-153
Phone: (225) 765-3076
Fax: (225) 765-3090

The NPI 1720087828 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/20/2005 and was last updated on 10/24/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyRN030357 AP02978LOUISIANANo
2363LG0600XNurse PractitionerGerontology030357LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14B405D279MEDICARE PINLOUISIANA
21438855MEDICAIDLOUISIANA
3P03705MEDICARE UPINLOUISIANA
4P00137724OTHERLOUISIANARAILROAD MEDICARE
54B405DX80MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.