Active NPI
Chung Mei Peng, AGNP
- Adult Health Nurse Practitioner
- Richardson, TX
National Provider Identifier
1083255533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP143352
- Practice address
- 4145 Tabernash
Richardson, TX 75082-3744 - Phone
- (469) 867-5258
- NPI assigned
- Oct 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP143352 | TX | Primary |
Addresses
Primary practice location
4145 Tabernash
Richardson, TX 75082-3744
Mailing address
4145 Tabernash
Richardson, TX 75082-3744
Phone (469) 867-5258
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP143352 | TX | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1083255533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4145 TABERNASH",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750823744",
"telephone_number": "469-867-5258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4145 TABERNASH",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750823744",
"telephone_number": "469-867-5258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENG",
"first_name": "CHUNG MEI",
"credential": "AGNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-07",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP143352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.