THEA C PENNYWELL PA
NPI 1295038149
Physician Assistant in Shreveport, LA

Active since December 15, 2010
7925 YOUREE DR, SUITE 220, SHREVEPORT, LA 71105(318) 424-3400(318) 629-8712 Get Directions Write a Review

NPPES record last updated: December 15, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thea C Pennywell Pa NPPES

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

THEA C PENNYWELL PA (NPI 1295038149) is an individual physician assistant in Shreveport, Louisiana, licensed in Louisiana (PA200405) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1295038149
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTHEA C PENNYWELLCredential: PA
Location Address7925 YOUREE DR, SUITE 220Shreveport, LA 71105-5127
Mailing Address7925 Youree Dr, Suite 220Shreveport, LA 71105-5127 · (318) 424-3400 · Fax (318) 629-8712
Fax(318) 629-8712
Sole ProprietorNo
Enumeration DateDecember 15, 2010
NPI 1295038149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in LA · PA200405
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7925 YOUREE DR, Shreveport, LA 71105

Other Providers at the Same Location NPPES 20

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

Prosthetic/Orthotic Supplier
7925 YOUREE DR, SUITE 230
SHREVEPORT, LA 71105
Physician Assistant (Surgical)
7925 YOUREE DR, SUITE 200
SHREVEPORT, LA 71105
Specialist/Technologist (Athletic Trainer)
7925 YOUREE DR
SHREVEPORT, LA 71105
Nurse Practitioner
7925 YOUREE DR, SUITE 280A
SHREVEPORT, LA 71105
Orthopaedic Surgery
7925 YOUREE DR, SUITE 200
SHREVEPORT, LA 71105
Orthopaedic Surgery
7925 YOUREE DR, SUITE 200
SHREVEPORT, LA 71105
Orthopaedic Surgery
7925 YOUREE DR, SUITE 200
SHREVEPORT, LA 71105
Orthopaedic Surgery (Hand Surgery)
7925 YOUREE DR, SUITE 200
SHREVEPORT, LA 71105

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 Thea Pennywell's NPI number?

The NPI number for Thea Pennywell is 1295038149. It was assigned to this individual provider in the NPPES registry on December 15, 2010.

Where is Thea Pennywell located?

Thea Pennywell practices at 7925 Youree Dr Suite 220, Shreveport, LA 71105. The listed phone number is (318) 424-3400.

What is Thea Pennywell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Thea Pennywell was last updated on December 15, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.