Active NPI
Cecilia Naa-Sakle Penn, MD, MPH, FAAP
- Pediatrics Physician
- St Thomas, VI
National Provider Identifier
1063469955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 1425
- Practice address
- 6501 Red Hook PLZ
Suite 201
St Thomas, VI 00802-1305 - Phone
- (340) 513-2888
- NPI assigned
- May 27, 2006
- Last updated
- Mar 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 1425 | VI | Primary |
| Pediatrics Physician | 208000000X | D62776 | MD |
Addresses
Primary practice location
6501 Red Hook PLZ
Suite 201
St Thomas, VI 00802-1305
Mailing address
6501 Red Hook PLZ
Suite 201
St Thomas, VI 00802-1305
Phone (340) 513-2888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407470000 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D62776 | MD | MD | Pediatrics Physician |
| 1425 | VI | MD | Pediatrics Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1063469955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 RED HOOK PLZ",
"address_2": "SUITE 201",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "008021305",
"telephone_number": "340-513-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 RED HOOK PLZ",
"address_2": "SUITE 201",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "008021305",
"telephone_number": "340-513-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENN",
"first_name": "CECILIA",
"middle_name": "NAA-SAKLE",
"credential": "MD, MPH, FAAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VI",
"license": "1425",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D62776",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407470000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Thomas, VI
- Paramount Medical (Garfield A. Less, MD)
- Lisa Alexandria Parfitt, OT
- Payne Rehabilitation LLC (Horizon Physical Therapy)
- Peak Medical Corp
- Penn Pediatrics (Partners 4Kids)
- Perspective Therapy Plus
- Rupert Augustus Peterkin, M.D.
- Araminta K Peters
- Richworth Philip, O.D
- Phylchris, Inc. (Massac's Nursing Agency)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.