KATHRYN PENTICO CPNP-PC NPI 1356895155

NPI Information

  • NPI: 1356895155
  • Provider Name: KATHRYN PENTICO, CPNP-PC
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 3786 CENTRAL PIKE STE 130
    HERMITAGE, TN
    ZIP 37076
  • Phone: (615) 883-2200

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NPI Details

Kathryn Pentico, CPNP-PC is a pediatrics nurse practitioner in Hermitage, TN. Kathryn Pentico, CPNP-PC NPI is 1356895155. 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:

3786 CENTRAL PIKE STE 130
HERMITAGE, TN
ZIP 37076-498
Phone: (615) 883-2200
Fax: (615) 883-1104

The enumeration date for this NPI number is 8/9/2016 and was last updated on 5/17/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse210852TENNESSEENo
2363LP0200XNurse PractitionerPediatrics21521TENNESSEEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q023490MEDICAIDTENNESSEE

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: 11/21/2025

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