Nancy Jamison Peckenpaugh in Ithaca - Dietitian, Registered

Nancy Jamison Peckenpaugh - NPI 1063535391

Nancy Jamison Peckenpaugh is a Dietitian, Registered in Ithaca, New York. Nancy Jamison Peckenpaugh practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Nancy Jamison Peckenpaugh is 1063535391. The last update date is 2011-12-07.

Nancy Jamison Peckenpaugh's current location address is 1216 Trumansburg Road, Ithaca, New York. You can contact this provider via phone number 6072721297 and fax number 6072722366. The mailing address for Nancy Jamison Peckenpaugh is 1216 Trumansburg Road, Ithaca, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Nancy Jamison Peckenpaugh
Address 1216 Trumansburg Road, Ithaca, New York
Phone Number 6072721297
Fax Number 6072722366
Sole Proprietor Y
Credentials MSED RD CD

NPI Number Detail

NPI Number 1063535391
Provider Enumeration Date 2007-04-10
Last Updated Date 2011-12-07

Provider Mailing Address Detail

Address 1216 Trumansburg Road
City Ithaca
State New York (NY)
Post Code 148501314
Phone Number 6072721297
Fax Number 6072722366

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 12301
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
204479481 NY BC/BS
4410036 NY AETNA
916207001 NY HEALTH NOW INSURANCE CO

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FAQs about Nancy Jamison Peckenpaugh

What is the unique 10-digit identifier code issued to Nancy Jamison Peckenpaugh by the Centers for Medicare & Medicaid Services?

The Nancy Jamison Peckenpaugh has been assigned the NPI (National Provider Identifier) 1063535391 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Nancy Jamison Peckenpaugh is physically located?

The Nancy Jamison Peckenpaugh is physically situated at the following address: 1216 Trumansburg Road, Ithaca, NY, 148501314.

What is Nancy Jamison Peckenpaugh's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Nancy Jamison Peckenpaugh is Dietitian, Registered, and the taxonomy code that categorizes this field of expertise is 133V00000X.

When did Nancy Jamison Peckenpaugh receive its 1063535391 assignment?

The Nancy Jamison Peckenpaugh was assigned its 1063535391 on 2007-04-10, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Nancy Jamison Peckenpaugh, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Nancy Jamison Peckenpaugh, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-12-07.

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