PROVIDENCE PEDIATRICS, LLC
NPI 1821497942
Nurse Practitioner in Gray, TN

NPI Status: Active since August 14, 2014

Contact Information

140 OLD GRAY STATION ROAD
SUITE 200
GRAY, TN
ZIP 37615
Phone: (423) 477-2042
Fax: (423) 477-4571

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  • Organization
  • Nurse Practitioner

About PROVIDENCE PEDIATRICS, LLC

This page provides the complete NPI Profile along with additional information for Providence Pediatrics, Llc, a provider established in Gray, Tennessee operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1821497942 assigned on August 2014. The practitioner's primary taxonomy code is 363L00000X with license number 6966 (TN). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Susan Kay Pennypacker Fnp-c (Owner)

NPI
1821497942
Provider Name
PROVIDENCE PEDIATRICS, LLC
Entity Type
Organization
Location Address
140 OLD GRAY STATION ROAD SUITE 200 GRAY, TN 37615
Location Phone
(423) 477-2042
Location Fax
(423) 477-4571
Mailing Address
140 OLD GRAY STATION ROAD SUITE 200 GRAY, TN 37615
Mailing Phone
(423) 477-2042
Mailing Fax
(423) 477-4571
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2014
Last Update Date
08-14-2014
Code Navigator

A nurse practitioner (NP) like Providence Pediatrics, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
6966
License State
TN
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. SUSAN KAY PENNYPACKER FNP-C

Authorized Official Title
OWNER
Authorized Official Phone
(423) 477-2042

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1821497942, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 4 → 8 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 8 + 9 + 1 + 4 + 9 + 8 + 24 = 78

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 78 is 80. The difference is the calculated check digit.

80 - 78 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1821497942.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821497942, enumerated as an "organization" on August 14, 2014.

The provider is located at 140 OLD GRAY STATION ROAD SUITE 200 GRAY, TN 37615 and the phone number is (423) 477-2042.

Nurse Practitioner with taxonomy code 363L00000X.