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MS. SUSAN KAY PENNYPACKER FNP C
NPI 1194717157
Nurse Practitioner - Family in Gray, TN

Active since August 16, 2005
140 OLD GRAY STATION RD, SUITE 200, GRAY, TN 37615(423) 477-2042(423) 477-7571 Get Directions Write a Review

NPPES record last updated: November 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Susan Kay Pennypacker Fnp C NPPES

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

MS. SUSAN KAY PENNYPACKER FNP C (NPI 1194717157) is an individual family provider in Gray, Tennessee, licensed in Tennessee (6966) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1194717157
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SUSAN KAY PENNYPACKERCredential: FNP C
Location Address140 OLD GRAY STATION RD, SUITE 200Gray, TN 37615
Mailing Address140 Old Gray Station Rd, Suite 200Gray, TN 37615 · (423) 477-2042 · Fax (423) 477-7571
Phone(423) 477-2042
Fax(423) 477-7571
Sole ProprietorYes
Enumeration DateAugust 16, 2005
Last NPPES UpdateNovember 8, 2011
✔ NPI 1194717157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 6966
140 OLD GRAY STATION RD, Gray, TN 37615
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Other Identifiers 2

Medicare UPINQ44834
Medicaid5440517TN

Other Providers at the Same Location NPPES

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

TRI-CITIES PEDIATRIC ENDOCRINOLOGY, PLLC
Clinic/Center (Medical Specialty)
140 OLD GRAY STATION RD, SUITE 200
GRAY, TN 37615
Washington County (423) 483-0828

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 Susan Pennypacker's NPI number?

The NPI number for Susan Pennypacker is 1194717157. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Susan Pennypacker located?

Susan Pennypacker practices at 140 Old Gray Station Rd Suite 200, Gray, TN 37615. The listed phone number is (423) 477-2042.

What is Susan Pennypacker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Susan Pennypacker was last updated on November 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.