HEATHER ANN PENNING (NPI# 1700071248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700071248 |
| Entity Type | Individual |
| Full Name | HEATHER ANN PENNING |
| Credential | CNP |
| Practice Address |
480 Osborne Rd Ne Suite 220 Fridley MN 55432-2773 |
| Practice Telephone | 7637861620 |
| Practice Fax Number | 7637803099 |
| Mailing Telephone | 7637861620 |
| Mailing Fax Number | 7637803099 |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2015-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R 132897-2 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R 132897-2 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
480 OSBORNE RD NE SUITE 220 |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-2773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275528671 | Multicare Associates of The Twin Cities,pa | Obstetrics & Gynecology | 480 Osborne Rd Ne, Suite 100, Fridley, MN 55432-2773 | 2005-09-13 |
| 1063923233 | Christina Louise Ann Her | Occupational Therapist | 480 Osborne Rd Ne, Fridley, MN 55432-2773 | 2017-10-16 |
| 1972039527 | North Memorial Health Care | Clinic/Center | 480 Osborne Rd Ne, #100, Fridley, MN 55432-2773 | 2017-05-02 |
| 1619401270 | Betlehem Semahge | Family Medicine | 480 Osborne Rd Ne, Fridley, MN 55432-2773 | 2017-04-20 |
| 1588035612 | Yelena Babashova | Physician Assistant | 480 Osborne Rd Ne, Fridley, MN 55432-2773 | 2015-10-15 |
| 1285014811 | Nura Pa | Durable Medical Equipment & Medical Supplies | 480 Osborne Rd Ne, Suite 260, Fridley, MN 55432-2773 | 2015-06-09 |
| 1194105841 | Pain Centers of Minnesota - Fridley, LLC | Clinic/Center | 480 Osborne Rd Ne, Suite 260, Fridley, MN 55432-2773 | 2015-06-08 |
| 1003215542 | Alison Gardner | Physician Assistant | 480 Osborne Rd Ne, Fridley, MN 55432-2773 | 2014-08-20 |
| 1629408687 | Danielle Elizabeth Nelson | Physician Assistant | 480 Osborne Rd Ne, Fridley, MN 55432-2773 | 2013-11-12 |
| 1043646029 | Patrick David Carlson | Physical Therapist | 480 Osborne Rd Ne, #280, Fridley, MN 55432-2773 | 2013-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326350745 | Shannon E Mccutcheon | Nurse Practitioner | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2010-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639731821 | Thomas Bieniek | Nurse Practitioner | 1900 Centracare Cir Ste 1600, Saint Cloud, MN 56303-5000 | 2019-07-08 |
| 1649830225 | Kimberly Dawn Hanson | Nurse Practitioner | 1884 Randolph Ave, Saint Paul, MN 55105-1747 | 2019-06-17 |
| 1942762828 | Jodi Lynn Martin | Nurse Practitioner | 720 Washington Ave Se Ste 300, Minneapolis, MN 55414-2904 | 2019-04-01 |
| 1831661123 | Sheryl Jo Rudolf | Nurse Practitioner | 705 Pleasant Avenue, Park Rapids, MN 56470-1440 | 2018-12-26 |
| 1043730310 | Alexis Oluwasheun Bakare | Nurse Practitioner | 1101 Paul Pkwy Ne Apt 215, Blaine, MN 55434-3977 | 2017-06-27 |
| 1528500360 | Judy Pauletich | Nurse Practitioner | 1255 Mayhill Rd N, Maplewood, MN 55119-7158 | 2016-11-10 |
| 1437506417 | Zahra Roble | Nurse Practitioner | 1801 Nicolllet Ave S, Minneapolis, MN 55403 | 2016-05-19 |
| 1932569035 | David Makonde Ogato | Nurse Practitioner | 5325 W 74th St, Edina, MN 55439-2231 | 2016-03-02 |
| 1164896379 | Brooke Johnson | Nurse Practitioner | 12700 Whitewater Dr, Minnetonka, MN 55343-9438 | 2015-11-25 |
| 1962879916 | Carrie Rose Lucio | Nurse Practitioner | 807 Albert St N, Saint Paul, MN 55104-1302 | 2015-08-25 |
| Find all providers with the same taxonomy | ||||
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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.