Individual provider Active NPI

Penny Marie Loya, FNP

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1215021399
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2836 Issued in SC
Practice address
1415 Blanding St Ste 4
Columbia, SC 29201-2922
Phone
(803) 779-7500
Fax
(803) 779-7522
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2836 SC Primary

Addresses

Primary practice location

1415 Blanding St Ste 4
Columbia, SC 29201-2922

Mailing address

1415 Blanding St Ste 4
Columbia, SC 29201-2922
Phone (803) 779-7500

Other identifiers 1

IdentifierTypeStateIssuer
APRN 2836OtherSCSTATE LICENSE

Other names 1

  • Mrs. Penny Muckenfuss Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121115000191 SC Practitioner - Nurse Practitioner 5890946024 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DL Howard MD PHD PLLC CurrentSince May 5, 2025 Accepting new patients

Locations

1180 N Town Center Dr
Ste 100
Las Vegas, NV 89144
Phone (702) 202-2060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24823/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1215021399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BLANDING ST STE 4",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012922",
            "telephone_number": "803-779-7500",
            "fax_number": "803-779-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BLANDING ST STE 4",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012922",
            "telephone_number": "803-779-7500",
            "fax_number": "803-779-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOYA",
        "first_name": "PENNY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "2836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APRN 2836",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENNY",
            "last_name": "MUCKENFUSS",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.