National Provider Identifier
Nancy Jamison Peckenpaugh, MSED RD CDN CDE
Nancy Jamison Peckenpaugh, MSED RD CDN CDE is listed in the NPPES registry with a primary specialty of Registered Dietitian in Ithaca, NY and a listed phone number of (607) 272-1297.
Profile Overview
- NPI
- 1063535391
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- April 10, 2007
- Last Updated
- December 07, 2011
Practice Location
- 1216 Trumansburg Road
- Ithaca, NY 14850-1314
Phone: (607) 272-1297
Specialties
- Registered Dietitian (133V00000X)
- Diabetes Educator Registered Nurse (163WD0400X)
Full Record
- NPI
- 1063535391
- Entity Type
- Individual
- Last Name
- Peckenpaugh
- First Name
- Nancy
- Middle Name
- Jamison
- Name Prefix
- MS.
- Credential
- MSED RD CDN CDE
- Mailing Street Address
- 1216 Trumansburg Road
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1314
- Mailing Country
- US
- Mailing Phone
- (607) 272-1297
- Mailing Fax
- (607) 272-2366
- Practice Street Address
- 1216 Trumansburg Road
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1314
- Practice Country
- US
- Practice Phone
- (607) 272-1297
- Practice Fax
- (607) 272-2366
- Enumeration Date
- April 10, 2007
- Last Updated
- December 07, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X), Diabetes Educator Registered Nurse (163WD0400X)
- Other Identifiers
- 204479481 (NY, Bc/Bs), 4410036 (NY, Aetna), 000916207001 (NY, Health Now Insurance CO)