Individual provider Active NPI

Henrietta J Peynado, MSN,RN,FNP-BC,OCN

  • Family Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1023310596
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP119466 Issued in TX
Practice address
5501 S McColl Rd
Edinburg, TX 78539
Phone
(956) 362-3780
Fax
(956) 362-3793
NPI assigned
Dec 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X AP119466 TX
Family Nurse Practitioner 363LF0000X AP119466 TX Primary

Addresses

Primary practice location

5501 S McColl Rd
Edinburg, TX 78539

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-3780

Other practice location 1

2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000745 TX Practitioner - Nurse Practitioner 4486837747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Practice addresses (Care Compare)

2655 Cornerstone Blvd
Edinburg, TX 78539-8479
Phone (956) 362-5765

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP119466TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Medical Foundation Family CurrentSince May 24, 2019 Accepting new patients
Maria Ruby Guajardo, M.D., P.a. Current Accepting new patients
BHS Physicians Network, Inc CurrentSince Feb 1, 2011 Accepting new patients
BHS Physicians Network, Inc CurrentSince Feb 1, 2011 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

2655 Cornerstone Blvd
Edinburg, TX 78539
Phone (956) 362-3780

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

707 W Sesame Dr
Harlingen, TX 78550
Phone (956) 412-5800

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1023310596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "956-362-3780",
            "fax_number": "956-362-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-362-3780",
            "fax_number": "956-362-3793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Pease St",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785508307",
            "country_code": "US",
            "telephone_number": "956-389-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEYNADO",
        "first_name": "HENRIETTA",
        "middle_name": "J",
        "credential": "MSN,RN,FNP-BC,OCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "AP119466",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP119466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.