IndividualActive
Teddy Pennypacker, RN
NPI 1073020897 · Case Management Registered Nurse · Pryor, OK
Teddy Pennypacker, RN is a Case Management Registered Nurse provider in Pryor, OK (NPI 1073020897).
Provider details
- NPI number
- 1073020897
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 0058244 (OK)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
231 E Graham Ave
Pryor, OK 74361-2436
Phone: (918) 825-1405
Fax: (918) 825-1406
Street-level locationGet directions
Mailing address
231 E Graham Ave
Pryor, OK 74361-2436
Registry dates
- Enumerated
- 2018-01-02
- Last updated
- 2018-01-02
Frequently asked questions
- What is Teddy Pennypacker's NPI number?
- Teddy Pennypacker's National Provider Identifier (NPI) is 1073020897, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Teddy Pennypacker's specialty?
- Teddy Pennypacker is listed in the NPPES registry with a primary specialty of Case Management Registered Nurse (Nursing Service Providers).
- Where is Teddy Pennypacker located?
- Teddy Pennypacker's practice location on file with NPPES is 231 E Graham Ave, Pryor, OK 74361-2436.
- What is Teddy Pennypacker's phone number?
- The practice phone number listed in the NPPES registry for Teddy Pennypacker is (918) 825-1405.
- Is Teddy Pennypacker's NPI active?
- Yes — Teddy Pennypacker's NPI (1073020897) is active in the NPPES registry as of the last update on 2018-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.