Pennyfarthing LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PENNYFARTHING LLC

Practice address

520 Cedar St
Ste a
Sandpoint, ID 83864-1569

Phone

(208) 255-1617

NPI assigned

Apr 22, 2016

Last updated

Jul 7, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Amy Loukus, M.S.

Title

Owner

Phone

(208) 255-1617

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1003260357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 CEDAR ST",
            "address_2": "STE A",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641569",
            "telephone_number": "208-255-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 CEDAR ST",
            "address_2": "STE A",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641569",
            "telephone_number": "208-255-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNYFARTHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "LOUKUS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-255-1617",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.