YVETTE PENNER (NPI# 1881054823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881054823 |
| Entity Type | Individual |
| Full Name | YVETTE PENNER |
| Credential | RD, LDN, CNSC |
| Practice Address |
800 Washington St Box #44, Division of Newborn Medicine Boston MA 02111-1552 |
| Mailing Address |
800 Washington St # 783 Frances Stern Nutrition Center At Tufts Medical Center Boston MA 02111-1552 |
| Practice Telephone | 6176365322 |
| Mailing Telephone | 6176364208 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
3405 | MA | Dietary & Nutritional Service Providers |
| Street Address |
800 WASHINGTON ST BOX #44, DIVISION OF NEWBORN MEDICINE |
| City | BOSTON |
| State | MA |
| Zip Code | 02111-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848643 | Christopher B. Geary | Orthopaedic Surgery | 800 Washington St, Box 306, Boston, MA 02111-1552 | 2005-06-01 |
| 1720687767 | Johnson Ching | Pharmacist | 800 Washington St, Boston, MA 02111-1552 | 2020-10-21 |
| 1174120075 | Sarah Woodruff | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2020-10-04 |
| 1255946448 | Tufts Medical Center | Surgery | 800 Washington St, Boston, MA 02111-1552 | 2020-09-14 |
| 1639784408 | Pankaj Jain | Internal Medicine | 800 Washington St, Boston, MA 02111-1552 | 2020-09-09 |
| 1053926907 | Arlind Decka | Surgery | 800 Washington St, Boston, MA 02111-1552 | 2020-09-08 |
| 1518571124 | Abdulrahman Mohammad Alshiban | Psychiatry & Neurology | 800 Washington St, Boston, MA 02111-1552 | 2020-09-01 |
| 1922610229 | Taylor Elizabeth Maffett | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2020-08-18 |
| 1467063685 | Heather April Mills Tong | Physical Therapist | 800 Washington St, Boston, MA 02111-1552 | 2020-08-11 |
| 1245840032 | Lindsey Holland | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2020-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
| 1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
| 1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| Find all providers in zip 02111 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487123121 | Lesley Frances Varone | Dietitian, Registered | 333 Longwood Ave # Lo415, Boston, MA 02115-5711 | 2018-11-23 |
| 1083244545 | Tina Joan Sun | Dietitian, Registered | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-01-23 |
| 1699324285 | Kathrina Prelack | Dietitian, Registered | 51 Blossom St, Boston, MA 02114-2601 | 2019-09-06 |
| 1659939569 | Jennifer Hall | Dietitian, Registered | 51 Blossom St, Boston, MA 02114-2601 | 2019-06-05 |
| 1467016857 | Allison Shaffer | Dietitian, Registered | 333 Longwood Ave Fl 4, Boston, MA 02115-5711 | 2019-05-01 |
| 1124511456 | Toni C Fiori | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115-5711 | 2018-06-12 |
| 1174063432 | Melissa Mcdonnell | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115-5711 | 2017-03-06 |
| 1053857540 | Sophia E. Burge | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115-5711 | 2017-01-09 |
| 1710330477 | Jacqueline Marie Suarez | Dietitian, Registered | 300 Longwood Ave, Boston, MA 02115-5724 | 2016-07-18 |
| 1144683392 | Lindsay Arnett | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115-5711 | 2016-04-04 |
| Find all providers in BOSTON | ||||
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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.