PENNY SKOOG (NPI# 1053937847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053937847 |
| Entity Type | Individual |
| Full Name | PENNY SKOOG |
| Credential | RN |
| Practice Address |
20370 Poe Sholes Dr Bend OR 97703-7938 |
| Practice Telephone | 5413181377 |
| Practice Fax Number | 5413834587 |
| Mailing Telephone | 5413181377 |
| Mailing Fax Number | 5413834587 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
201907597RN | OR | Nursing Service Providers |
| Street Address |
20370 POE SHOLES DR |
| City | BEND |
| State | OR |
| Zip Code | 97703-7938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093956625 | Anne L Pendygraft | Counselor | 20370 Poe Sholes Dr, Bend, OR 97703-7938 | 2009-03-11 |
| 1891305835 | Stephanie Makris | Counselor | 20370 Poe Sholes Dr, Bend, OR 97703-7938 | 2020-08-04 |
| 1063045771 | Kimberly Ann Mclean | Counselor | 20370 Poe Sholes Dr, Bend, OR 97703-7938 | 2020-02-20 |
| 1548891310 | Jennifer Ann Martinson | Counselor | 20370 Poe Sholes Dr, Bend, OR 97703-7938 | 2020-01-30 |
| 1164053831 | Brooke Finley | Counselor | 20370 Poe Sholes Dr, Bend, OR 97703-7938 | 2020-01-30 |
| 1992343529 | Gretchen Ulrich | Counselor | 20370 Poe Sholes Dr, Bend, OR 97703-7938 | 2019-12-13 |
| 1932743648 | Lucas Leroy Lawrence | Registered Nurse | 20370 Poe Sholes Dr, Bend, OR 97703 | 2019-11-05 |
| 1386287779 | Megan Maccoy | Counselor | 20370 Poe Sholes Dr, Bend, OR 97703-7938 | 2019-10-18 |
| 1356909709 | Anissa Sanchez | Counselor | 20370 Poe Sholes Dr, Bend, OR 97703-7938 | 2019-05-31 |
| 1053978999 | Tabitha Marie Canales | Registered Nurse | 20370 Poe Sholes Dr, Bend, OR 97703-7938 | 2019-05-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1831658301 | Pretty Moments Lingerie, LLC | Durable Medical Equipment & Medical Supplies | 63455 N Hwy 97 Suite 44, Bend, OR 97703 | 2019-03-14 |
| 1821561150 | Kevin Hallmeyer | Chiropractor | 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 | 2019-01-09 |
| 1346743267 | Jesse Maggie Mae Abraham | Massage Therapist | 39 Nw Lousiana Ave, Bend, OR 97703 | 2018-03-16 |
| 1891202396 | Jerod Paul Michael | Speech-Language Pathologist | 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703 | 2018-01-05 |
| 1952823023 | Dan Packman | Massage Therapist | 2955 N. Hwy 97, Ste 105, Riverside Wellness, Voila Massage, Bend, OR 97703 | 2017-07-11 |
| 1023460102 | Brennon Patrick Moore | Counselor | 835 Nw Bond St Ste 100, Bend, OR 97703 | 2016-07-12 |
| 1093160269 | Eric Hinds | Optometrist | 63455 N Highway 97 Ste 75, Bend, OR 97703 | 2016-04-25 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| Find all providers in zip 97703 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336436823 | Susan Elizabeth Stone | Registered Nurse | 19333 Sw Laurelhurst Way, Bend, OR 97702-3192 | 2011-07-05 |
| 1598060832 | Michele Ann Moore | Registered Nurse | 20370 Poe Sholes Road, Bend, OR 97701 | 2011-01-18 |
| 1760984645 | Kestrel Jean | Registered Nurse | 20370 Poe Sholes Dr, Bend, OR 97703-7938 | 2018-03-06 |
| 1033450234 | Stephanie Barss | Registered Nurse | 2075 Ne Wyatt Ct, Bend, OR 97701 | 2013-03-13 |
| 1336412568 | Tricia Kaye Grant | Registered Nurse | 20370 Poe Sholes Dr, Bend, OR 97701-7938 | 2012-02-19 |
| 1447523675 | Wendy Desire Paris | Registered Nurse | 20370 Poe Sholes Dr, Bend, OR 97701-7938 | 2012-02-19 |
| 1942505086 | Christina Marie Hansen | Registered Nurse | 20370 Poe Sholes Dr, Bend, OR 97701 | 2011-01-21 |
| 1073818373 | Lynnanne Likens Hayes | Registered Nurse | 20370 Poe Sholes Rd, Bend, OR 97701 | 2011-01-18 |
| 1437451341 | Marcy Lee Mergel | Registered Nurse | 20370 Poe Sholes Dr, Bend, OR 97701 | 2010-11-29 |
| 1215194139 | Elaine Margaret Gilbert | Registered Nurse | 1340 Nw Wall St, Bend, OR 97701-1985 | 2008-05-19 |
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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.