Kathleen Kelly Peniston

NP | Nurse Practitioner | 24+ years Exp

Accepts Medicare Nurse Practitioner in Charlotte, North Carolina.
Kathleen Kelly Peniston is a Charlotte, North Carolina based nurse practitioner with 24 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: 24+ 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 NumberSpecializationStateStatus
950005Psych/Mental Health North CarolinaPrimary
950005Nurse Practitioner North CarolinaSecondary
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, NCAcute 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:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.