Individual provider Active NPI

Jennifer D Penland, MD

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1235557554
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S1485 Issued in TX
Practice address
14340 Memorial Dr Ste 100
Houston, TX 77079-1835
Phone
(832) 680-2074
NPI assigned
Apr 3, 2014
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X S1485 TX Primary

Addresses

Primary practice location

14340 Memorial Dr Ste 100
Houston, TX 77079-1835

Mailing address

14340 Memorial Dr Ste 100
Houston, TX 77079-1835
Phone (832) 680-2074

Other identifiers 1

IdentifierTypeStateIssuer
3111984MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S1485TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Front Porch Pediatrics PLLC Pediatrics Current Accepting new patients
Blue Fish Pediatrics, L.L.P. Pediatrics Past Accepting new patients

Locations

14340 Memorial Dr
Ste 100
Houston, TX 77079
Phone (832) 680-2074

Interoperability endpoints

  • Direct secure messaging: jennifer.penland@blu.eclinicaldirectplus.com

Organizations & group practices 2

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": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1235557554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14340 MEMORIAL DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791835",
            "telephone_number": "832-680-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14340 MEMORIAL DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791835",
            "telephone_number": "832-680-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENLAND",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S1485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3111984",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.