Melindia Elaine Pence, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

137454 Issued in TX

Practice address

809 W Dyer St
Breckenridge, TX 76424-3454

Phone

(254) 631-2729

NPI assigned

Feb 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1205337052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 W DYER ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764243454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W DYER ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764243454",
            "telephone_number": "254-631-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCE",
        "first_name": "MELINDIA",
        "middle_name": "ELAINE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "137454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keely Marie Nickell
• Kristie Oyler, P.T.
• Denise Marie Palmer, LPC
• Seol Park
• Parks-Gill, Inc (focus home medical)
• Todd Martin Pennartz, D.D.S.
• Cynthia Anne Perry, M.D.
• William Elmo Prater, M.D.
• Rachael Kendra Dabelic, M.D. P.a.
• Senior Health - Villa Haven, LLC

• Licensed Vocational Nurse in Breckenridge, TX
• Providers in Breckenridge, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.