MELISSA L. PENNEBAKER NP NPI 1629205315

NPI Information

NPI: 1629205315
Provider Name: MELISSA L. PENNEBAKER, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: CRESCENT CITY PHYSICIANS INC

PECOS Registration: Yes

Address:
3525 PRYTANIA ST
SUITE 302
NEW ORLEANS, LA
ZIP 70115
Phone: (504) 897-8970
Get Directions

Melissa L. Pennebaker, NP is a family nurse practitioner in New Orleans, LA with 23 years of experience. Melissa L. Pennebaker, NP NPI is 1629205315. 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:

3525 PRYTANIA ST
SUITE 302
NEW ORLEANS, LA
ZIP 70115-500
Phone: (504) 897-8970
Fax: (504) 897-8777

The NPI 1629205315 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 6/19/2009 and was last updated on 11/3/2010.

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
1	363LF0000X	Nurse Practitioner	Family	AP03897	LOUISIANA	Yes

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
1	1893528	MEDICAID	LOUISIANA
2	3B148	MEDICARE PIN	LOUISIANA

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

NPI Synchronization or Removal

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