MRS. PENNI LORRAINE CREMER (NPI# 1710944863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710944863 |
| Entity Type | Individual |
| Full Name | MRS. PENNI LORRAINE CREMER |
| Other Name | PENNI LORRAINE FUQUA |
| Credential | PMHCNS-BC |
| Practice Address |
1424 E 91st St Indianapolis IN 46240-1902 |
| Mailing Address |
12539 Pebblepointe Pass Carmel IN 46033 |
| Practice Telephone | 3177093365 |
| Mailing Telephone | 3177093365 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2019-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 70000131A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200405980 | 05 |
| Street Address |
1424 E 91ST ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46240-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124674908 | Indianapolis Neurobehavioral Health Center LLC | Psychologist | 921 E. 86th St., Suite 210 C, Indianapolis, IN 46240 | 2019-08-16 |
| 1720507999 | Refractive Surgery Professionals LLC | Clinic/Center | 8500 Keystone Xing Ste 150, Indianapolis, IN 46240 | 2017-09-19 |
| 1184148892 | Hannah Hoyt | Specialist/Technologist | 9504 N. Washington Blvd, Indianapolis, IN 46240 | 2017-08-03 |
| 1134657455 | Donann Kissick | Speech-Language Pathologist | 450 E 96th St., Suite 500, Indianapolis, IN 46240 | 2017-05-31 |
| 1992138804 | George Byington Pratt IIi | Radiology | 9015 Crystal Lake Drive, Indianapolis, IN 46240 | 2013-08-14 |
| 1871934513 | Kayla Harpenau | Occupational Therapist | 7405 Westfield Blvd, Indianapolis, IN 46240 | 2013-07-10 |
| 1235483835 | Christina Marie Wilson | Nurse Practitioner | 8888 Keystone Crossing, Suite 1300, Indianapolis, IN 46240 | 2012-11-04 |
| 1770850927 | Holly Bergeron | Pharmacist | 1505 E 86th Street, Indianapolis, IN 46240 | 2011-11-16 |
| 1104128214 | Meghan Kyle Fricke | Physician Assistant | 860 E 86th St Ste 4, Indianapolis, IN 46240 | 2010-11-22 |
| 1689901118 | Katherine Jane Russell | Audiologist | 2001 W. 86th St., Indianapolis, IN 46240 | 2009-11-04 |
| Find all providers in zip 46240 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851471221 | Margaret Rose Payne | Clinical Nurse Specialist | 850 N Meridian St, 2nd Floor, Indianapolis, IN 46204-1098 | 2006-10-17 |
| 1457703159 | Elizabeth Ferguson | Clinical Nurse Specialist | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2016-07-06 |
| 1265812010 | Joycelyn L Howard | Clinical Nurse Specialist | 1633 N Capitol Ave, Suite 301, Indianapolis, IN 46202-1476 | 2015-06-08 |
| 1902043755 | Stephanie C Whittaker | Clinical Nurse Specialist | 705 Riley Hospital Dr, Room 2001, Indianapolis, IN 46202-5109 | 2009-01-15 |
| 1619139359 | Mary Lou Wulf | Clinical Nurse Specialist | 1701 N Senate Blvd, Rm Ag 001, Indianapolis, IN 46202-1239 | 2008-06-25 |
| 1285826750 | Pamela O'haver Day | Clinical Nurse Specialist | 9670 E Washington St, Ste 120, Indianapolis, IN 46229-3032 | 2007-08-17 |
| 1487784211 | Cheryl Lee Crisp | Clinical Nurse Specialist | 702 Barnhill Dr, Ri 5837, Indianapolis, IN 46202-5128 | 2007-03-07 |
| 1558384859 | Joan M. Barr | Clinical Nurse Specialist | 1801 Senate Blvd, Suite 3100, Indianapolis, IN 46202-1228 | 2006-07-26 |
| 1497790463 | Joyce A Scott | Clinical Nurse Specialist | 2620 Kessler Boulevard East Dr, Suite 210, Indianapolis, IN 46220-2890 | 2006-06-16 |
| 1720039589 | Jean M Bandos | Clinical Nurse Specialist | 1001 W 10th St, Indianapolis, IN 46202-2859 | 2006-05-15 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46240 |
Please comment or provide details below to improve the information on MRS. PENNI LORRAINE CREMER.
| 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.