Kathleen Kelly Peniston
NP | Nurse Practitioner | 25+ years Exp
501 Billingsley Rd, Ste B, Charlotte
North Carolina, 28211-1009
704-444-2400
Kathleen Kelly Peniston is a Charlotte, North Carolina based nurse practitioner with 25 years of experience in . She completed her graduation from Vanderbilt University School Of Medicine in 2000. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kathleen Kelly Peniston is 950005 for Psych/Mental Health in North Carolina. Her current practice location is 501 Billingsley Rd, Ste B, Charlotte. Patients can reach her at 704-444-2400. Kathleen Kelly Peniston is NP and her NPI number (Unique professional ID assigned by NPPES) is 1346260254.
Kathleen Kelly Peniston has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kathleen Kelly Peniston speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kathleen Kelly Peniston |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 25+ years |
| Medical School Attended: | Vanderbilt University School Of Medicine |
| Graduation Year: | 2000 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 501 Billingsley Rd, Ste B, Charlotte,
North Carolina, 28211-1009 |
| Phone: | 704-444-2400 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8820112535 |
| Enrollment ID: | I20100902000274 |
| NPI Number: | 1346260254 |
| NPI Enumeration Date: | 20 Jul, 2006 |
| NPI Last Update On: | 15 Jul, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kathleen Kelly Peniston are as mentioned below.
| License Number | Specialization | State | Status | |
| 950005 | Psych/Mental Health | North Carolina | Primary | |
| 950005 | Nurse Practitioner | North Carolina | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (340113) | Charlotte, NC | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kathleen Kelly Peniston is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Carolinas Medical Center (4789597477) | 731 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kathleen Kelly Peniston
Po Box 19305,
Charlotte, North Carolina |
| Zip: | 28219-9305 |
Patients can reach Kathleen Kelly Peniston at
501 Billingsley Rd, Ste B, Charlotte, North Carolina or can
call to book an appointment on 704-444-2400.
Comments/ Reviews:
Patients can read all the reviews posted for Kathleen Kelly Peniston below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Kathleen Kelly Peniston. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.