Linnea Pennycuff, R.D., C.D.

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

37001516A Issued in IN

Practice address

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403-8000

Phone

(812) 825-1111

NPI assigned

Sep 9, 2005

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 names 1

• Linnea Nikirk Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8479/brand/1/csg/1/fhir/r4

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.

• Monroe Medical Group Inc

  • Family Medicine Physician
  • Bloomington, IN
  • NPI 1568627206
  Medicare reassignment NPD
• Anesthesia Care of Bloomington PC

  • Anesthesiology Physician
  • Bloomington, IN
  • NPI 1093990541
  NPD (past)
• Monroe Physicians Group

  • General Acute Care Hospital
  • Bloomington, IN
  • NPI 1588863534
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1871587451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 S MONROE MEDICAL PARK BLVD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474038000",
            "telephone_number": "812-825-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 S MONROE MEDICAL PARK BLVD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474038000",
            "telephone_number": "812-825-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNYCUFF",
        "first_name": "LINNEA",
        "credential": "R.D., C.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "IN",
            "license": "37001516A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINNEA",
            "last_name": "NIKIRK",
            "credential": "R.D., C.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• George Edward Peffley, DDS
• Kent J Pellerite, PT
• Neil A. Pence, O.D.
• George Peneff, M.D.
• Mollibeth Penner
• Ursula Penrose, N.P.
• Carrie Pepper
• Hannah Perin, RBT
• Periodontal Associates of Bloomington
• Peripheral Vascular Care

• Metabolic Nutrition Registered Dietitian in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Metabolic Nutrition Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.