JESSIE-ANNE PENKOFF (NPI# 1043863350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043863350 |
| Entity Type | Individual |
| Full Name | JESSIE-ANNE PENKOFF |
| Practice Address |
5977 E Grant Rd Ste 109 Tucson AZ 85712-2341 |
| Mailing Address |
6700 Washington Ave S Eden Prairie MN 55344-3405 |
| Practice Telephone | 5208335378 |
| Practice Fax Number | 5204334918 |
| Mailing Telephone | 8003288602 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers | ||
| Y | 237700000X | Hearing Instrument Specialist | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2120 W Ina Rd Ste 250-i, Tucson, AZ 857412647 | 5208335378 | 5204334918 |
| Street Address |
5977 E GRANT RD STE 109 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-2341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528144102 | Susan Jane Fowler | Audiologist | 5977 E Grant Rd Ste 109, Tucson, AZ 85712 | 2006-10-27 |
| 1033660048 | Northland Hearing Centers, Inc | Hearing Aid Equipment | 5977 E Grant Rd Ste 109, Tucson, AZ 85712-2341 | 2016-10-14 |
| 1992252480 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 5977 E Grant Rd Ste 109, Tucson, AZ 85712-2341 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396253845 | Nathaniel Buck | Hearing Instrument Specialist | 625 E Wetmore Rd Ste 103, Tucson, AZ 85705-1760 | 2018-01-18 |
| 1518417146 | Hearing Solution Pllc | Hearing Instrument Specialist | 3843 E Kleindale Rd, Tucson, AZ 85716-1442 | 2016-10-06 |
| 1285183145 | William Eldred Wivell Jr. | Hearing Instrument Specialist | 4429 E 5th St, Tucson, AZ 85711-2006 | 2016-10-03 |
| 1477906865 | Christopher Weitzel | Hearing Instrument Specialist | 2909 E Grant Rd, Tucson, AZ 85716-2717 | 2016-07-20 |
| 1003275090 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 1802 W Grant Rd, Suite 110-4, Tucson, AZ 85745-1232 | 2016-02-18 |
| 1649644501 | Michael Rigg | Hearing Instrument Specialist | 7090 N Oracle Rd Ste 88, Tucson, AZ 85704-4344 | 2015-11-16 |
| 1033582481 | Katherine Lynn Graham | Hearing Instrument Specialist | 6206 E Pima St Ste 4, Tucson, AZ 85712-7001 | 2015-11-06 |
| 1386033900 | Total Hearing Care LLC | Hearing Instrument Specialist | 7033 E Tanque Verde Rd, Tucson, AZ 85715-5311 | 2015-01-20 |
| 1306240825 | Tsb Management Group LLC | Hearing Instrument Specialist | 8035 N Gillespie Ln, Tucson, AZ 85743-7333 | 2014-10-13 |
| 1215343744 | Hear Clear Systems | Hearing Instrument Specialist | 5336 E 19th St, Tucson, AZ 85711-4440 | 2014-07-03 |
| Find all providers in TUCSON | ||||
Please comment or provide details below to improve the information on JESSIE-ANNE PENKOFF.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.