MELISSA PENNANT
NPI 1043532864
Licensed Practical Nurse in Valley Stream, NY

Active since February 20, 2010
189 BEECH ST, VALLEY STREAM, NY 11580(718) 809-9685(718) 228-7059 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melissa Pennant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA PENNANT (NPI 1043532864) is an individual licensed practical nurse in Valley Stream, New York, licensed in New York (298786) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1043532864
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMELISSA PENNANT
Location Address189 BEECH STValley Stream, NY 11580-4903
Mailing Address189 Beech StValley Stream, NY 11580-4903 · (718) 809-9685 · Fax (718) 228-7059
Fax(718) 228-7059
Sole ProprietorYes
Enumeration DateFebruary 20, 2010
Last NPPES UpdateNovember 10, 2022
NPPES CertifiedNovember 10, 2022
NPI 1043532864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 298786
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
189 BEECH ST, Valley Stream, NY 11580

Other Identifiers 1

Medicaid06335780NY

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
189 BEECH ST
VALLEY STREAM, NY 11580
Licensed Practical Nurse
189 BEECH ST
VALLEY STREAM, NY 11580

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Pennant's NPI number?

The NPI number for Melissa Pennant is 1043532864. It was assigned to this individual provider in the NPPES registry on February 20, 2010.

Where is Melissa Pennant located?

Melissa Pennant practices at 189 Beech St, Valley Stream, NY 11580. The listed phone number is (718) 809-9685.

What is Melissa Pennant's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Melissa Pennant was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.