Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sandra Pennington, APRN

Individual provider Family Nurse Practitioner · NPI 1649005471

Sandra Pennington, APRN is a Nurse Practitioner in Manchester, Kentucky. Qualified in 2024, 2 years ago. Practices with Family Practice of Kentucky LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2024
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

21 Crestview Dr
Manchester, KY 40962-7012
Phone: (606) 594-1769
Fax: (606) 596-0473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4026742 (KY)

Record details

NPI number1649005471
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedSeptember 3, 2024
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing address2175 Sacker Rd, Manchester, KY 40962-8109

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Family Practice Of Kentucky Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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