CALEB PENNOCK
NPI 1720535032
Licensed Practical Nurse in Carterville, IL

Q: What is Caleb Pennock's NPI number?

The NPI number for Caleb Pennock is 1720535032. It was assigned to this individual provider in the NPPES registry on September 2, 2016.

Q: What is Caleb Pennock's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Caleb Pennock was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 September 02, 2016

4474 OLD ROUTE 13, CARTERVILLE, IL 62918(618) 889-7076 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Caleb Pennock NPPES

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

CALEB PENNOCK (NPI 1720535032) is an individual licensed practical nurse in Carterville, Illinois, licensed in Illinois (043.122929) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1720535032

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameCALEB PENNOCK

Location Address4474 OLD ROUTE 13Carterville, IL 62918-3300

Mailing Address4474 Old Route 13Carterville, IL 62918-3300

Phone(618) 889-7076

Sole ProprietorYes

Enumeration DateSeptember 2, 2016

✔ NPI 1720535032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in IL · 043.122929

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

4474 OLD ROUTE 13, Carterville, IL 62918

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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 Caleb Pennock's NPI number?

The NPI number for Caleb Pennock is 1720535032. It was assigned to this individual provider in the NPPES registry on September 2, 2016.

Where is Caleb Pennock located?

Caleb Pennock practices at 4474 Old Route 13, Carterville, IL 62918. The listed phone number is (618) 889-7076.

What is Caleb Pennock's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Caleb Pennock was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.