MRS. MARCY PENROD (NPI# 1699318592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699318592 |
| Entity Type | Individual |
| Full Name | MRS. MARCY PENROD |
| Credential | MSN, AGPC-NP |
| Practice Address |
8333 Naab Rd Indianapolis IN 46260-5924 |
| Practice Telephone | 3173386666 |
| Mailing Telephone | 3173386666 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
71009503A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10694 Coyote Run, Fishers, IN 460388314 | 7652512111 |
| Street Address |
8333 NAAB RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-5924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131103 | Ronald L Young II | Neurological Surgery | 8333 Naab Rd, 250, Indianapolis, IN 46260-5924 | 2005-08-11 |
| 1922471986 | Katherine Deines | Registered Nurse | 8333 Naab Rd, #250, Indianapolis, IN 46260-5924 | 2015-11-12 |
| 1487097994 | Priority Physicians, PC | Clinic/Center | 8333 Naab Rd, Suite 360, Indianapolis, IN 46260-5924 | 2013-04-15 |
| 1043552102 | Indiana Neuroscience Associates | Psychiatry & Neurology | 8333 Naab Rd, Ste 260, Indianapolis, IN 46260-5924 | 2013-03-26 |
| 1346588688 | St. Vincent Health Wellness and Preventive Care Institute, Inc. | Internal Medicine | 8333 Naab Rd, Suite 301, Indianapolis, IN 46260-5924 | 2013-01-22 |
| 1962753525 | Libby Deann Reese | Registered Nurse | 8333 Naab Rd, Suite 250, Indianapolis, IN 46260-5924 | 2012-09-24 |
| 1770832586 | Hadi S Tolooi | Psychiatry & Neurology | 8333 Naab Rd, Ste 260, Indianapolis, IN 46260-5924 | 2012-09-07 |
| 1659620532 | Basem Kayali | Hospitalist | 8333 Naab Rd, Ste 400, Indianapolis, IN 46260-5924 | 2012-09-06 |
| 1619288560 | Kristin Ann Halpern | Physician Assistant | 8333 Naab Rd, Suite 250, Indianapolis, IN 46260-5924 | 2010-06-25 |
| 1497075519 | Jonathan P Schmidt | Family Medicine | 8333 Naab Rd, Suite 360, Indianapolis, IN 46260-5924 | 2010-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567249 | Sarah E Munson | Nurse Practitioner | 1633 N Capitol Ave Ste 680, Indianapolis, IN 46202-1281 | 2020-08-06 |
| 1750844890 | Sarah Kathleen Cherry | Nurse Practitioner | 4326 Maldenhair Dr, Indianapolis, IN 46239-9033 | 2019-04-06 |
| 1184103459 | Katherine Rose Ahaus | Nurse Practitioner | 1801 Senate Blvd Ste 230, Indianapolis, IN 46202-1252 | 2018-08-08 |
| 1386197770 | Masita Isabel Poray | Nurse Practitioner | 5435 E 16th St Ste 500, Indianapolis, IN 46218-4869 | 2016-08-02 |
| 1316370612 | Paradigm Living Concepts, LLC | Nurse Practitioner | 8904 Bash St Ste B, Indianapolis, IN 46256-1286 | 2013-08-10 |
| 1902414709 | Michelle Nicole Gibson | Nurse Practitioner | 1801 N Senate Blvd, Indianapolis, IN 46202-1228 | 2020-07-17 |
| 1467081455 | Sarah Elizabeth Wheeler | Nurse Practitioner | 1801 N Senate Blvd Ste 635, Indianapolis, IN 46202-1212 | 2020-04-02 |
| 1154965531 | Monica Deryckere | Nurse Practitioner | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2019-10-29 |
| 1124677000 | Amanda Marie Mccoy Ignaut | Nurse Practitioner | 1402 E County Line Rd, Indianapolis, IN 46227-0963 | 2019-09-04 |
| 1508424953 | Brett Allen Kotowski | Nurse Practitioner | 2010 N Capitol Ave, Indianapolis, IN 46202-1222 | 2019-05-31 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on MRS. MARCY PENROD.
| 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.