LINNEA PENNYCUFF


Address: 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000
Phone: 8128251111

LINNEA PENNYCUFF (NPI# 1871587451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871587451
Entity Type Individual
Full Name LINNEA PENNYCUFF
Other Name LINNEA NIKIRK
Credential R.D., C.D.
Practice Address 4011 S Monroe Medical Park Blvd
Bloomington
IN 47403-8000
Practice Telephone 8128251111
Mailing Telephone 8128251111
Enumeration Date 2005-09-09
Last Update Date 2013-09-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
37001516A IN Dietary & Nutritional Service Providers

Office Location

Street Address 4011 S MONROE MEDICAL PARK BLVD
City BLOOMINGTON
State IN
Zip Code 47403-8000

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NPI Name Taxonomy Address Enumeration
1396284410 Bloomington Emergency Care LLC Emergency Medicine 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2017-02-22
1295105641 Sheridan Emergency Physician Services of Indiana, PC Emergency Medicine 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2015-09-29
1023448321 Northwest Hospitalist Physicians, LLP Emergency Medicine 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2013-11-22
1497185797 Northern Indiana Emergency Physicians, LLP Emergency Medicine 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2013-11-22
1821366832 Bloomington Emergency Group PC Physician Assistant 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2011-12-05
1164790341 Bloomington Physician Services PC Physician Assistant 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2011-12-02
1104059468 Amandeep Singh Internal Medicine 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2009-09-02
1801046347 Monroe Hospital Ambulance Service Ambulance 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2008-09-21
1568627206 Monroe Medical Group Inc Anesthesiology 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2008-07-22
1093990541 Anesthesia Care of Bloomington PC Anesthesiology 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2008-01-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043783673 Brook Whitaker Registered Nurse 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 2019-01-07
1598251175 Jacob Edward Lundorf Nurse Practitioner 2100 S Liberty Dr Ste B, Bloomington, IN 47403 2018-07-06
1568973717 Gregory Thomas Dougan Physician Assistant 418 South Landmark Avenue, Bloomington, IN 47403 2017-10-16
1295276160 Indiana Center for Recovery, LLC Substance Abuse Rehabilitation Facility 1004 W 1st Street, Bloomington, IN 47403 2017-03-13
1144694217 Kayla Dewolf Specialist/Technologist 1471 W Allen St, Bloomington, IN 47403 2015-11-30
1164806444 Monroe Hosoital General Acute Care Hospital 4011 Monroe Medical Park, Bloomington, IN 47403 2015-07-16
1821411588 Jennifer Turner Occupational Therapy Assistant 1023 West Main St, Swiss Villa, Vevay, IN 47403 2014-01-30
1104170232 Kendall Basore Social Worker 445 S. Landmark Ave., Bloomington, IN 47403 2012-10-26
1568715886 Indiana Hearing LLC Hearing Aid Equipment 2019 S Liberty Dr, Bloomington, IN 47403 2012-10-24
1679870232 Accurate Hearing Services Clinic/Center 1355 W Second St, #3, Bloomington, IN 47403 2011-02-17
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Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376070615 Dietitiancare, LLC Dietitian, Registered 1775 S Basswood Trl, La Porte, IN 46350-9289 2017-05-17
1972597417 Cari Dawn Staggs-littrell Dietitian, Registered Dunn Memorial Hospital, 1600 23rd Street, Bedford, IN 47421 2005-09-09
1962881433 Molly Beth Robinson Dietitian, Registered 720 Eskenazi Ave, Indianapolis, IN 46202-5187 2015-05-29
1467831990 Rupal Trivedi Dietitian, Registered 2200 Randallia Dr, Fort Wayne, IN 46805-4638 2015-05-29
1376972273 Rosemary P Benjamin Dietitian, Registered 1400 W State St, Building B, Suite C, West Lafayette, IN 47906-3438 2013-11-01
1467692517 Leigh Ann Brooks Dietitian, Registered 2200 Randallia Dr, Fort Wayne, IN 46805-4638 2009-03-03
1336259381 Amy J Rudbeck Dietitian, Registered 1700 E 38th St, Marion, IN 46953-4568 2006-08-30
1508895863 Reid Hospital & Health Care Services, Inc. Dietitian, Registered 1100 Reid Pkwy, Richmond, IN 47374-1157 2006-06-30

Competitor

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City BLOOMINGTON
Zip Code 47403

Improve Information

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Dataset Information

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.

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