LYNN M PENFOLD (NPI# 1912276502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912276502 |
| Entity Type | Individual |
| Full Name | LYNN M PENFOLD |
| Credential | NPC |
| Practice Address |
5710 Clio Rd Flint MI 48504-1525 |
| Mailing Address |
225 E 5th St Suite 300 Flint MI 48502-1641 |
| Practice Telephone | 8107874445 |
| Practice Fax Number | 8107874491 |
| Mailing Telephone | 8104064246 |
| Mailing Fax Number | 8104246029 |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704210483 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5710 CLIO RD |
| City | FLINT |
| State | MI |
| Zip Code | 48504-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700868288 | Christopher John Danko | Psychologist | 5710 Clio Rd, Flint, MI 48504-1524 | 2005-11-18 |
| 1558893149 | Aisha Myshelle Harris | Family Medicine | 5710 Clio Rd, Flint, MI 48504-1525 | 2017-04-01 |
| 1891164638 | Christine Jarocki | Podiatrist | 5710 Clio Rd, Flint, MI 48504-1525 | 2015-09-23 |
| 1881926962 | Doris Evelyn Patrick | Social Worker | 5710 Clio Rd, Flint, MI 48504-1525 | 2010-02-01 |
| 1952569790 | Hamilton Community Health Network Inc. | Obstetrics & Gynecology | 5710 Clio Rd, Flint, MI 48504-1524 | 2008-05-29 |
| 1083839518 | Robert A Barbier | Counselor | 5710 Clio Rd, Flint, MI 48504-1525 | 2007-04-17 |
| 1710036900 | Joseph R. Partlan | Physician Assistant | 5710 Clio Rd, Flint, MI 48504-1524 | 2007-01-09 |
| 1457396723 | Yogesh Jagirdar | Family Medicine | 5710 Clio Rd, Flint, MI 48504-1525 | 2006-06-19 |
| 1215907159 | Donald Robinson | Family Medicine | 5710 Clio Rd, Flint, MI 48504-1524 | 2006-01-24 |
| 1780654806 | Liza Weathersby | Family Medicine | 5710 Clio Rd, Flint, MI 48504-1524 | 2006-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935326 | St. Luke N.e.w. Life Center, Inc. | Optometrist | 3115 Lawndale Ave., Flint, MI 48504 | 2019-07-31 |
| 1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
| 1639653413 | Chad Warren Montague | Social Worker | 1420 West University Ave, Flint, MI 48504 | 2018-09-18 |
| 1235628744 | Houda Ghassani | Dentist | 2501 W Pierson Rd # Unitsb-d, Flint, MI 48504 | 2018-05-09 |
| 1982108551 | Dawn Michelle Conklin | Physical Therapist | 1069 N Ballenger Hwy, Flint, MI 48504 | 2018-03-20 |
| 1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1609151109 | All American Pharmacy LLC | Pharmacy | 3104-3106 Flushing Rd, Flint, MI 48504 | 2011-10-15 |
| 1972814143 | Ballenger Pharmacy Center | Pharmacy | 1073 N Ballenger Hwy, Flint Twp, MI 48504 | 2010-06-23 |
| 1932357837 | Katherine Ann Kogelmann | Social Worker | 1420 W. University, Flint, MI 48504 | 2008-09-04 |
| Find all providers in zip 48504 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831739523 | Tiffany M Stafford | Nurse Practitioner | 5536 S Saginaw Rd, Flint, MI 48507-4421 | 2020-01-09 |
| 1184269599 | Tamela Renae Callahan | Nurse Practitioner | 20188 Ridgerock Dr, Flint, TX 75762-9335 | 2019-11-08 |
| 1164982229 | Randi Lynn Ballard-dickerson | Nurse Practitioner | 1140 S Linden Rd Bldg A, Flint, MI 48532-3437 | 2019-03-23 |
| 1710454111 | Brian Mcdermott | Nurse Practitioner | 1230 S Linden Rd Ste 4, Flint, MI 48532-3424 | 2018-10-24 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1144728593 | Matthew Thomas Evans | Nurse Practitioner | 1125 S Linden Rd Ste 900, Flint, MI 48532-4068 | 2018-01-30 |
| 1093213977 | Sandy Holland | Nurse Practitioner | 4100 Beecher Road, Flint, MI 48532-2819 | 2018-01-25 |
| 1245760883 | Melinda Sue Williams | Nurse Practitioner | 2304 Bradford Dr, Flint, MI 48507-4404 | 2017-06-15 |
| 1912340332 | Patricia Ann Ward | Nurse Practitioner | 1401 E. Court, Mott Community College Health Services, Flint, MI 48503 | 2013-04-16 |
| 1710119904 | Laura Lea Szakal | Nurse Practitioner | 1386 S Linden Rd, Flint, MI 48532-4185 | 2009-08-20 |
| Find all providers in FLINT | ||||
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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.