MRS. BETHANY LYN PENROD
NPI 1063952612
Specialist in West Monroe, NY

Q: What is Bethany Penrod's NPI number?

The NPI number for Bethany Penrod is 1063952612. It was assigned to this individual provider in the NPPES registry on March 1, 2017. The provider is also known as Bethany Lyn Devine.

Q: What is Bethany Penrod's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Bethany Penrod was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 01, 2017

40 WOODY DR, WEST MONROE, NY 13167(315) 744-3779 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 1, 2017 (2 updates tracked since 2017).

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About Mrs. Bethany Lyn Penrod NPPES

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

MRS. BETHANY LYN PENROD (NPI 1063952612) is an individual specialist in West Monroe, New York and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1063952612

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. BETHANY LYN PENROD

Location Address40 WOODY DRWest Monroe, NY 13167-4184

Mailing Address40 Woody DrWest Monroe, NY 13167-4184 · (315) 744-3779

Phone(315) 744-3779

Sole ProprietorYes

Enumeration DateMarch 1, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1063952612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

40 WOODY DR, West Monroe, NY 13167

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Other Names 1

Former Name (1)Bethany Lyn Devine

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 Bethany Penrod's NPI number?

The NPI number for Bethany Penrod is 1063952612. It was assigned to this individual provider in the NPPES registry on March 1, 2017. The provider is also known as Bethany Lyn Devine.

Where is Bethany Penrod located?

Bethany Penrod practices at 40 Woody Dr, West Monroe, NY 13167. The listed phone number is (315) 744-3779.

What is Bethany Penrod's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Bethany Penrod was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.