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KERRI PENKE
NPI 1215518311
Student in an Organized Health Care Education/Training Program in Prior Lake, MN

Active since April 20, 2021
16180 HASTINGS AVE SE, PRIOR LAKE, MN 55372(952) 443-4600 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kerri Penke NPPES

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

KERRI PENKE (NPI 1215518311) is an individual student in an organized health care education/training program in Prior Lake, Minnesota and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1215518311
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKERRI PENKE
Location Address16180 HASTINGS AVE SEPrior Lake, MN 55372-9227
Mailing Address4315 Golf Club Dr Apt 6511Auburn, AL 36830-5971 · (952) 607-6479
Phone(952) 443-4600
Sole ProprietorNo
Enumeration DateApril 20, 2021
NPPES CertifiedApril 20, 2021
✔ NPI 1215518311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
16180 HASTINGS AVE SE, Prior Lake, MN 55372
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Other Providers at the Same Location NPPES 10

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

TAYLOR STOTZ MA, LPCC, R-DMT
Counselor (Professional)
16180 HASTINGS AVE SE
PRIOR LAKE, MN 55372
Scott County (952) 443-4604
JESSICA HARGREAVES
Student in an Organized Health Care Education/Training Program
16180 HASTINGS AVE SE
PRIOR LAKE, MN 55372
Scott County (952) 443-4600
HANNAH ELLENBY MSW, LICSW
Social Worker (Clinical)
16180 HASTINGS AVE SE
PRIOR LAKE, MN 55372
Scott County (952) 443-4600
ANDREW KEVIN DAHLEN M.A.
Student in an Organized Health Care Education/Training Program
16180 HASTINGS AVE SE, SUITE 205
PRIOR LAKE, MN 55372
Scott County (952) 463-4600
MELISSA KLOSS PSY.D.
Psychologist (Clinical)
16180 HASTINGS AVE SE
PRIOR LAKE, MN 55372
Scott County (952) 443-4600
NAA YEMOLEY DODOO
Student in an Organized Health Care Education/Training Program
16180 HASTINGS AVE SE
PRIOR LAKE, MN 55372
Scott County (952) 443-4600
TARA ANN PERTTULA MSW
Social Worker
16180 HASTINGS AVE SE
PRIOR LAKE, MN 55372
Scott County (952) 443-4600
MS. MAYEN YAWN M.A.
Student in an Organized Health Care Education/Training Program
16180 HASTINGS AVE SE
PRIOR LAKE, MN 55372
Scott County (952) 443-4600

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 Kerri Penke's NPI number?

The NPI number for Kerri Penke is 1215518311. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Kerri Penke located?

Kerri Penke practices at 16180 Hastings Ave SE, Prior Lake, MN 55372. The listed phone number is (952) 443-4600.

What is Kerri Penke's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kerri Penke was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.