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CAROLINE GRACE PENNINGTON
NPI 1730074725
Student in an Organized Health Care Education/Training Program in Lake Wylie, SC

Active since June 10, 2025
4573 ISLAND FORKS RD, LAKE WYLIE, SC 29710(704) 860-2142 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Caroline Grace Pennington NPPES

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

CAROLINE GRACE PENNINGTON (NPI 1730074725) is an individual student in an organized health care education/training program in Lake Wylie, South Carolina and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1730074725
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCAROLINE GRACE PENNINGTON
Location Address4573 ISLAND FORKS RDLake Wylie, SC 29710-8040
Mailing Address4573 Island Forks RdLake Wylie, SC 29710-8040
Phone(704) 860-2142
Sole ProprietorNo
Enumeration DateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1730074725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPhysician AssistantTaxonomy 363A00000X
4573 ISLAND FORKS RD, Lake Wylie, SC 29710
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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 Caroline Pennington's NPI number?

The NPI number for Caroline Pennington is 1730074725. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Caroline Pennington located?

Caroline Pennington practices at 4573 Island Forks Rd, Lake Wylie, SC 29710. The listed phone number is (704) 860-2142.

What is Caroline Pennington'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 Caroline Pennington was last updated on June 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.