Jody Pennycook, PA
NPI 1255696910 · Medical Physician Assistant · Santa Rosa, CA
Jody Pennycook, PA is a Medical Physician Assistant provider in Santa Rosa, CA (NPI 1255696910).
Provider details
- NPI number
- 1255696910
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA22225 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2012-07-09
- Last updated
- 2012-07-09
Frequently asked questions
- What is Jody Pennycook's NPI number?
- Jody Pennycook's National Provider Identifier (NPI) is 1255696910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jody Pennycook's specialty?
- Jody Pennycook is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jody Pennycook located?
- Jody Pennycook's practice location on file with NPPES is 4740 Hoen Ave, Santa Rosa, CA 95405-7824.
- What is Jody Pennycook's phone number?
- The practice phone number listed in the NPPES registry for Jody Pennycook is (707) 542-2783.
- Is Jody Pennycook's NPI active?
- Yes — Jody Pennycook's NPI (1255696910) is active in the NPPES registry as of the last update on 2012-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.