PENNY LYNN BEARHEART (NPI# 1881171601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881171601 |
| Entity Type | Individual |
| Full Name | PENNY LYNN BEARHEART |
| Credential | PC-IT, SAC-IT |
| Practice Address |
4404 State Road 70 Webster WI 54893-9251 |
| Mailing Address |
Po Box 521 Cumberland WI 54829-0521 |
| Practice Telephone | 7154185755 |
| Practice Fax Number | 8777792951 |
| Mailing Telephone | 7154185755 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18616-130 | WI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
4454-226 | WI | Behavioral Health & Social Service Providers |
| Street Address |
4404 STATE ROAD 70 |
| City | WEBSTER |
| State | WI |
| Zip Code | 54893-9251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346233350 | St. Croix Tribal Behavioral Health Clinic | Counselor | 4404 State Road 70, Webster, WI 54893-9251 | 2005-08-24 |
| 1124678818 | Muskadee Linda Montano | Social Worker | 4404 State Road 70, Webster, WI 54893-9251 | 2019-09-16 |
| 1194380543 | Deborah Ann Knutsen | Registered Nurse | 4404 State Road 70, Webster, WI 54893-9251 | 2019-05-01 |
| 1316415516 | Sandra Johnson | Registered Nurse | 4404 State Road 70, Webster, WI 54893-9251 | 2018-11-06 |
| 1801371190 | Dianna Kay Stumph | Registered Nurse | 4404 State Road 70, Webster, WI 54893-9251 | 2018-10-02 |
| 1184109597 | Lona Marie Noll | Licensed Practical Nurse | 4404 State Road 70, Webster, WI 54893-9251 | 2018-10-02 |
| 1598245045 | Kimberly M Stypula | Licensed Practical Nurse | 4404 State Road 70, Webster, WI 54893-9251 | 2018-08-15 |
| 1720573082 | Susan Evelyn Merchant | Dental Hygienist | 4404 State Road 70, Webster, WI 54893-9251 | 2018-06-28 |
| 1538652383 | Kayce R Rachner | Dental Hygienist | 4404 State Road 70, Webster, WI 54893-9251 | 2018-06-07 |
| 1164919833 | Karli Solum | Dietitian, Registered | 4404 State Road 70, Webster, WI 54893-9251 | 2018-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427288711 | Jamie Ruiz | Licensed Practical Nurse | 27105 Lily Lake Rd, Webster, WI 54893 | 2009-07-21 |
| 1487875787 | St. Croix Tribal Council | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 4404 State Rd 70, Webster, WI 54893 | 2007-05-02 |
| 1851421903 | St Croix Falls Eye Associates | Optometrist | 7440 Main St West, Webster, WI 54893 | 2007-03-07 |
| 1396823324 | Benjamin Dale Blowers | Chiropractor | 7461 Main St West, Webster, WI 54893-0095 | 2006-11-01 |
| 1699195065 | Shannon Steiner | Licensed Practical Nurse | 8757 Perida Rd, Webster, WI 54893-7422 | 2014-04-23 |
| 1861662678 | Cary Mitchell Behm | Chiropractor | 26768 Lakeland Ave N, Webster, WI 54893-8106 | 2008-03-07 |
| 1174673511 | John W Ingalls | Family Medicine | 7456 Main St W, Webster, WI 54893-8205 | 2007-01-10 |
| 1265950240 | Erin M Vogland | Nurse Practitioner | 7456 Main St W, Webster, WI 54893-8205 | 2017-08-30 |
| 1255627972 | Leah B Jacobs | Nurse Practitioner | 7456 Main St W, Webster, WI 54893-8205 | 2011-06-21 |
| 1477843258 | Kathryn Ann Freese | Physical Therapy Assistant | 7456 Main St W, Webster, WI 54893-8205 | 2011-04-13 |
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| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231757 | The Sanctuary Foster Care Services | Counselor | 617 Cole St Ste A, Webster, TX 77598-4903 | 2020-06-29 |
| 1063921302 | Kathryn Ann Disalvo | Counselor | 525 Sherborne Rd, Webster, NY 14580-8752 | 2017-09-28 |
| 1184073587 | Leann Witmer | Counselor | 2819 English Colony Dr, Webster, TX 77598-3113 | 2016-06-07 |
| 1417303959 | Shelby Morreale | Counselor | 4 Windy Ridge Rd, Webster, MA 01570-1523 | 2016-05-13 |
| 1871983650 | Karyn Dietz | Counselor | 807 Ridge Rd Ste 206, Webster, NY 14580-2497 | 2015-01-30 |
| 1487928347 | Michele M Caponi | Counselor | 518 Blackthorne Lane, Webster, NY 14580-1005 | 2012-02-23 |
| 1194926303 | Colleen May Kunz | Counselor | 734 Gravel Rd, Webster, NY 14580-1716 | 2007-05-29 |
| 1235268079 | Tom Porpiglia | Counselor | 202 Dickinson Rd, Webster, NY 14580-1335 | 2007-03-05 |
| 1003929373 | Marilyn Sullivan | Counselor | 1674 Empire Blvd 300, Webster, NY 14580-1894 | 2006-08-17 |
| 1346233350 | St. Croix Tribal Behavioral Health Clinic | Counselor | 4404 State Road 70, Webster, WI 54893-9251 | 2005-08-24 |
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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.