SUSAN KAY PENNER (NPI# 1902034572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902034572 |
| Entity Type | Individual |
| Full Name | SUSAN KAY PENNER |
| Credential | PHYSICAL THERAPIST |
| Practice Address |
8200 Dodge Street Children's Hospital & Medical Center Omaha NE 68114-4113 |
| Mailing Address |
32108 W Lake Park Dr South Bend NE 68058-4323 |
| Practice Telephone | 4029553980 |
| Mailing Telephone | 4029443581 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
225 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891842464 | Susan M Penner | Optometrist | 134 E Blackhawk Dr, Byron, IL 61010 | 2007-01-04 |
| Street Address |
8200 DODGE STREET CHILDREN'S HOSPITAL & MEDICAL CENTER |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959295 | Bonnie Jean Lees | Pediatrics | 8200 Dodge Street, Children's Hospital & Medicare Center, Omaha, NE 68114-4113 | 2005-08-18 |
| 1184145476 | Tyler Sutter | Physician Assistant | 8200 Dodge Street, Omaha, NE 68114-4113 | 2017-06-28 |
| 1174939540 | Salaheddin H. I. Elrokhsi | Pediatrics | 8200 Dodge Street, Pediatric Endocrinology Department, Omaha, NE 68114 | 2014-07-07 |
| 1962815720 | Brooke Jean Loutzenhiser | Nurse Practitioner | 8200 Dodge Street, Omaha, NE 68114 | 2014-06-09 |
| 1740570068 | Courtney Kiser Mclean | Pediatrics | 8200 Dodge Street, Neonatology, Omaha, NE 68114-4113 | 2011-04-08 |
| 1083924708 | Lindsay D Cassidy | Nurse Practitioner | 8200 Dodge Street, Children's Hospital & Medical Center - Cts, Omaha, NE 68114-4113 | 2010-10-15 |
| 1205163623 | Nppi - Anesthesiology | Anesthesiology | 8200 Dodge Street, Omaha, NE 68114-4113 | 2009-11-05 |
| 1366686552 | Laura E Routh | Physician Assistant | 8200 Dodge Street, Children's Hospital & Medical Center - Neurology, Omaha, NE 68114-4113 | 2009-05-01 |
| 1275777468 | Jennifer B Friend | Nurse Practitioner | 8200 Dodge Street, Children's Hospital & Medical Center - Nicu, Omaha, NE 68114-4113 | 2009-05-01 |
| 1922242320 | Paige E Hardy | Nurse Practitioner | 8200 Dodge Street, Children's Hospital & Medical Center - Nicu, Omaha, NE 68114-4113 | 2009-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841666831 | Margo Lutes | Physical Therapist | 444 S 44th Street, Omaha, NE 68198-4984 | 2015-08-13 |
| 1962791962 | Mary E Kouba | Physical Therapist | 14705 W Plz, Omaha, NE 68137-2518 | 2011-03-31 |
| 1477888246 | Shireen D'ann Hauser-miller | Physical Therapist | 13336 Industrial Rd Ste 101, Omaha, NE 68137-1124 | 2009-10-12 |
| 1487988119 | Children's Rehab Physical Therapy | Physical Therapist | 17809 Pierce Plz, Children's Rehab - Physical Therapy, Omaha, NE 68130-1035 | 2009-09-29 |
| 1093323867 | Chelsea Silva | Physical Therapist | 3516 N 163rd Plz, Omaha, NE 68116-2106 | 2020-07-17 |
| 1639710874 | Samantha M Rezab | Physical Therapist | 8200 Dodge St, Omaha, NE 68114-4113 | 2019-09-30 |
| 1811545296 | Kassi Sue Williams | Physical Therapist | 10824 Old Mill Rd Ste 10-1, Omaha, NE 68154-2642 | 2019-08-29 |
| 1063914109 | Michelle B Clark | Physical Therapist | 17809 Pierce Plz, Omaha, NE 68130-1035 | 2018-03-05 |
| 1316397631 | Kelli M Eihusen | Physical Therapist | 17809 Pierce Plz, Children's Hospital & Medical Center, Omaha, NE 68130-1035 | 2016-06-17 |
| 1093175580 | Carissa L Rowberry | Physical Therapist | 17809 Pierce Plz, Children's Rehab Physical Therapy, Omaha, NE 68130-1035 | 2016-02-26 |
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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.