LINNEA PENNYCUFF (NPI# 1871587451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
37001516A | IN | Dietary & Nutritional Service Providers |
Street Address |
4011 S MONROE MEDICAL PARK BLVD |
City | BLOOMINGTON |
State | IN |
Zip Code | 47403-8000 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 47403 |
Taxonomy Code | 133VN1006X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Metabolic |
Definition to come... |
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 |
City | BLOOMINGTON |
Zip Code | 47403 |
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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.