DR. PENNY ROSEN LUKIN (NPI# 1619921632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619921632 |
| Entity Type | Individual |
| Full Name | DR. PENNY ROSEN LUKIN |
| Credential | PHD |
| Practice Address |
118 Huxley Rd Ste 4 Knoxville TN 37922 |
| Practice Telephone | 8656710780 |
| Practice Fax Number | 8656710822 |
| Mailing Telephone | 8656710780 |
| Mailing Fax Number | 8656710822 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1816 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3684597 | 05 | |
| TN | BC BS | 173677 | 01 |
| Street Address |
118 HUXLEY RD STE 4 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992973507 | Diane Carrin Anthony | Counselor | 118 Huxley Rd, Suite Number 6, Knoxville, TN 37922-3185 | 2008-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
| 1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
| 1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
| 1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
| 1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
| Find all providers in zip 37922 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513890 | Elizabeth Katharine Collier Baker | Psychologist | 1800 Volunteer Blvd Fl 2, Knoxville, TN 37996-4522 | 2020-03-20 |
| 1275093304 | Marisa Whitley | Psychologist | 9217 Park West Blvd Ste D1, Knoxville, TN 37923-4420 | 2019-03-24 |
| 1265991673 | Michael Sanders | Psychologist | 100 Forest Ct, Knoxville, TN 37919-5079 | 2019-03-15 |
| 1407385289 | Savanna Nye Shepherd | Psychologist | 1128 E Weisgarber Rd Suite 210, Knoxville, TN 37909-2674 | 2017-06-06 |
| 1386014488 | Andrew Frazer | Psychologist | 1111 N. Northshore Dr., South Tower, Suite 490, Knoxville, TN 37919-2865 | 2015-10-01 |
| 1699142679 | James F Murray Phd Pllc | Psychologist | 4722 Old Kingston Pike, Knoxville, TN 37919-5206 | 2015-08-26 |
| 1033509369 | Kathryn Perkel | Psychologist | 1506 Callahan Dr, Knoxville, TN 37912-1207 | 2015-01-26 |
| 1093118754 | Amanda Surdock | Psychologist | 162d Market Place Blvd, Knoxville, TN 37922-2337 | 2014-10-08 |
| 1811322241 | Kristin Nicole Lewis | Psychologist | 310 N Forest Park Blvd, Suite 202, Knoxville, TN 37919 | 2013-09-04 |
| 1497910293 | Diana Lynn Mccoy | Psychologist | 5019 Jacksboro Pike, Knoxville, TN 37918 | 2008-07-22 |
| Find all providers in KNOXVILLE | ||||
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| 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.