Provider Demographics
NPI:1114249208
Name:PENNINGTON, KATHLEEN EMERSON (APN, LMFT)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:EMERSON
Last Name:PENNINGTON
Suffix:
Gender:F
Credentials:APN, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2809 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-4101
Mailing Address - Country:US
Mailing Address - Phone:615-418-7614
Mailing Address - Fax:
Practice Address - Street 1:2301 21ST AVE S STE 303
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-4908
Practice Address - Country:US
Practice Address - Phone:615-418-7614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-17
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000014733363LF0000X
TN1426106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily