Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Nancy Jamison Peckenpaugh, MSEDRDCDNCDE

Individual provider Registered Dietitian · NPI 1063535391

MS. Nancy Jamison Peckenpaugh, MSEDRDCDNCDE is a Registered Dietitian OR Nutrition Professional in Ithaca, New York. Qualified in 1977, 49 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois and New York.

Years since qualifying
49
Licensed in
IL, NY
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

1216 Trumansburg Rd
Ithaca, NY 14850-1314
Phone: (607) 272-1297
Fax: (607) 272-2366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 0012301 (NY)
Diabetes Educator Registered Nurse Taxonomy 163WD0400X · Licence 09224400 (IL)

Record details

NPI number1063535391
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSEDRDCDNCDE
Sole proprietorYes
NPI enumeratedApril 10, 2007
Last updated in NPPESDecember 7, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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