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Deactivated NPI 1528281045 Deactivated / Inactive NPI Female Practitioner

Rosa Lee Pennick

Lodging • Austin, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Rosa Pennick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 11, 2007
NPI Deactivation Date June 28, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Rosa Pennick was a registered Lodging practicing in Austin, TX. Throughout an active medical career spanning 16 years, Rosa Pennick provided care at the practice location at 5309 BASSWOOD LANE until profile deactivation on 2023-06-28.

Practice Location & Contact Primary Location

Practice Address

5309 Basswood Lane

Austin, TX 78723

Telephone 5129298034

Specialty Benchmarks & Practice Insights

Comparative analytics for Lodging in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Austin, TX (24 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Lodging Primary Specialty

NUCC Taxonomy Code: 177F00000X

A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 28, 2023

Record deactivated on June 28, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5309 BASSWOOD LANE, AUSTIN, TX 78723 (Tel: 5129298034)

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Updated Business Mailing Address July 08, 2007

Registered at 5309 BASSWOOD LANE, AUSTIN, TX 78723 (Tel: 5129298034)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROSA PENNICK

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Lodging

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Initial NPI Registration & Enumeration April 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528281045
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2007
Last Update: July 08, 2007
Deactivation Date: June 28, 2023

Mailing Address

5309 Basswood Lane

Austin, TX 78723

Phone: 5129298034

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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