Penny Dee Debuhr, D.H.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

2952016 Issued in WI

Practice address

1789 Elm St
Suite a
Dubuque, IA 52001-3638

Phone

(563) 690-2850

Fax

(563) 557-8488

NPI assigned

Jul 8, 2008

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Crescent Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Dubuque, IA
  • NPI 1720146319
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1386807519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 ELM ST",
            "address_2": "SUITE A",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013638",
            "telephone_number": "563-690-2850",
            "fax_number": "563-557-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 ELM ST",
            "address_2": "SUITE A",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013638",
            "telephone_number": "563-690-2850",
            "fax_number": "563-557-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBUHR",
        "first_name": "PENNY",
        "middle_name": "DEE",
        "credential": "D.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WI",
            "license": "2952016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33806800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN LICENSE",
            "identifier": "2952016",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE",
            "identifier": "03453",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia Rose Dannenmueller, ATC
• Lindsey Darrouzet, LISW
• David C Wertz DDS Ms PC
• Pamela Davis-Maas
• Shannon Elizabeth Davison-Wiese, ARNP
• Alexandra Marie Decker
• Jon Decker
• Kalyn Marie Decker, LMSW
• Kyle Decker, PT, DPT
• Martha M Degree, LISW

• Community Health Worker in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Community Health Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.