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IVANNA REBECCA PENGELLEY
NPI 1275185993
Peer Specialist in Tallahassee, FL

Active since July 12, 2019
2110 S GADSDEN ST, TALLAHASSEE, FL 32301(561) 309-9746 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ivanna Rebecca Pengelley NPPES

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

IVANNA REBECCA PENGELLEY (NPI 1275185993) is an individual peer specialist in Tallahassee, Florida and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1275185993
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameIVANNA REBECCA PENGELLEY
Location Address2110 S GADSDEN STTallahassee, FL 32301-5513
Mailing Address2110 S Gadsden StTallahassee, FL 32301-5513 · (561) 309-9746
Phone(561) 309-9746
Sole ProprietorYes
Enumeration DateJuly 12, 2019
✔ NPI 1275185993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2110 S GADSDEN ST, Tallahassee, FL 32301
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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 Ivanna Pengelley's NPI number?

The NPI number for Ivanna Pengelley is 1275185993. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Where is Ivanna Pengelley located?

Ivanna Pengelley practices at 2110 S Gadsden St, Tallahassee, FL 32301. The listed phone number is (561) 309-9746.

What is Ivanna Pengelley's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Ivanna Pengelley was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.