Susann Penska

Primary specialty

Registered Dietetic TechnicianTaxonomy code 136A00000X

Practice address

4201 Walnut St
McKeesport, PA 15132-7300

Phone

(412) 664-1448

NPI assigned

Feb 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: communitylifemckeesport@upmcdirect.com

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1366907438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 WALNUT ST",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151327300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 WALNUT ST",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151327300",
            "telephone_number": "412-664-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENSKA",
        "first_name": "SUSANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CommunityLifeMcKeesport@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "Community LIFE Center Direct Address",
            "address_1": "4201 Walnut St",
            "city": "McKeesport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151327300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Dietetic Technician in McKeesport, PA
• Providers in McKeesport, PA by specialty
• Registered Dietetic Technician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.