TEADRA PENNYCOOKE (NPI# 1649746249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649746249 |
| Entity Type | Individual |
| Full Name | TEADRA PENNYCOOKE |
| Credential | CRNP |
| Practice Address |
1 Longsdorf Way Carlisle PA 17015-7623 |
| Practice Telephone | 2039184796 |
| Mailing Telephone | 7173234001 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
SP019459 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 LONGSDORF WAY |
| City | CARLISLE |
| State | PA |
| Zip Code | 17015-7623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275590986 | Diakon Lutheran Social Ministries | Skilled Nursing Facility | 1 Longsdorf Way, Carlisle, PA 17013 | 2006-04-27 |
| 1831725183 | Carinne Margaret Bilbrey | Physical Therapy Assistant | 1 Longsdorf Way, Carlisle, PA 17015-7623 | 2020-03-19 |
| 1093296527 | Abbie Rose Lookingbill | Speech-Language Pathologist | 1 Longsdorf Way, Carlisle, PA 17015-7623 | 2018-08-23 |
| 1992293435 | Alexandra J Zara | Speech-Language Pathologist | 1 Longsdorf Way, Carlisle, PA 17015-7623 | 2018-04-30 |
| 1982122768 | Nicole Carlin | Occupational Therapist | 1 Longsdorf Way, Carlisle, PA 17015-7623 | 2017-08-31 |
| 1881116879 | Heidi Arlene Taverna | Physical Therapy Assistant | 1 Longsdorf Way, Carlisle, PA 17015-7623 | 2017-07-11 |
| 1235666009 | Spirit Physician Services, Inc. | Family Medicine | 1 Longsdorf Way, Carlisle, PA 17015 | 2017-05-11 |
| 1982141925 | Amanda Mary Morgan | Student in an Organized Health Care Education/Training Program | 1 Longsdorf Way, Carlisle, PA 17015-7623 | 2017-01-29 |
| 1275992117 | Derek Over | Physical Therapy Assistant | 1 Longsdorf Way, Carlisle, PA 17015-7623 | 2016-02-21 |
| 1174980569 | Heidi Ann Stearns | Speech-Language Pathologist | 1 Longsdorf Way, Carlisle, PA 17015-7623 | 2016-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306470802 | Jenna Deppen | Speech-Language Pathologist | 417 Village Dr., Suite 4, Carlisle, PA 17015 | 2020-02-24 |
| 1952736225 | Miguel Antonio Salomon | Family Medicine | 1533 Commerce Avenue, Suite 1, Carlisle, PA 17015 | 2013-09-05 |
| 1780934489 | Daniel Patrick Flatley | Specialist | 1 Longsdorf Wat, Carlisle, PA 17015 | 2012-09-11 |
| 1548516396 | Bertha Alicia Castro Vasquez | Obstetrics & Gynecology | 2 Jennifer Ct Ste B, Carlisle, PA 17015 | 2012-07-31 |
| 1851665632 | Robert Lee Thompson | Ophthalmology | 1927 Walnut Bottom Rd, Carlisle, PA 17015 | 2012-02-27 |
| 1063739225 | Barbara Jane Leonard | Registered Nurse | 20 Pennway Drive, Carlisle, PA 17015 | 2010-04-28 |
| 1629228267 | Jill Hoffman | Audiologist | 1533 Commerce Ave 2, Carlisle, PA 17015 | 2008-09-19 |
| 1598978769 | Paulette Irma Berube | Counselor | 988 Pine Rd, Carlisle, PA 17015 | 2007-05-07 |
| 1952460594 | Thomas P Neslund Dmd PC | Dentist | 13 Brookwood Avenue, Suite 3, Carlisle, PA 17015 | 2006-12-08 |
| 1790720621 | Mark Steven Golec | Podiatrist | 47 Brookwood Ave, Carlisle, PA 17015 | 2006-06-17 |
| Find all providers in zip 17015 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820622 | Diyong S Graham | Nurse Practitioner | 2812 Tremont St, Philadelphia, PA 19136-1025 | 2020-10-26 |
| 1457967499 | Rpg Health | Nurse Practitioner | 332 Frenchtown Rd, Milford, PA 18337-9004 | 2020-09-16 |
| 1427666759 | Arevik Bagdasarova | Nurse Practitioner | 312 W Providence Rd, Aldan, PA 19018-3830 | 2020-07-22 |
| 1346861978 | Christine Martinez | Nurse Practitioner | 2 W Baltimore Ave Ste 101, Media, PA 19063-3740 | 2020-05-05 |
| 1720608490 | Jaci Trosky | Nurse Practitioner | 2824 Enon Rd, Enon Valley, PA 16120-1454 | 2020-04-22 |
| 1750910808 | Alpha Integrated Clinic | Nurse Practitioner | 8019 Frankford Ave Rear, Philadelphia, PA 19136-2786 | 2020-04-01 |
| 1427681394 | Hwayoung Kim | Nurse Practitioner | 315 New St Apt 403, Philadelphia, PA 19106-1135 | 2020-02-19 |
| 1720624539 | Patrice Carver Cash | Nurse Practitioner | 539 Chain St, Norristown, PA 19401-4607 | 2019-11-27 |
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1528601739 | Ashley Lynn Swartz | Nurse Practitioner | 390 Gates St, Johnstown, PA 15906-1906 | 2019-10-21 |
| Find all providers with the same taxonomy | ||||
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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.