Yvette Penner, RD, LDN, CNSC

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

3405 Issued in MA

Practice address

800 Washington St
Box #44, Division of Newborn Medicine
Boston, MA 02111-1552

Phone

(617) 636-5322

NPI assigned

Mar 3, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1881054823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST # 783",
            "address_2": "FRANCES STERN NUTRITION CENTER AT TUFTS MEDICAL CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "address_2": "BOX #44, DIVISION OF NEWBORN MEDICINE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNER",
        "first_name": "YVETTE",
        "credential": "RD, LDN, CNSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "MA",
            "license": "3405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jane Penick, MD
• Plamyenne Penka Djamchebi, CNP
• Sara Kaprove Penn, M.D.
• Toni Necole Penn
• Page B Pennell, M.D.
• Ellen B Penney, M.D.
• Jessica A. Penney, MD
• Matthew Penney, PT
• William Pennington-Fitzgerald, MD
• Julia Pennington, PA-C

• Pediatric Nutrition Registered Dietitian in Boston, MA
• Providers in Boston, MA by specialty
• Pediatric Nutrition Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.