Active NPI
Allison Hayes Penn, PTA
- Contractor
- Garland, TX
National Provider Identifier
1306066642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 2027084
- Practice address
- 5649 Naaman Forest Blvd
Apart# 2734
Garland, TX 75044-5679 - Phone
- (972) 414-8801
- NPI assigned
- Apr 27, 2007
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 2027084 | TX | Primary |
Addresses
Primary practice location
5649 Naaman Forest Blvd
Apart# 2734
Garland, TX 75044-5679
Mailing address
5649 Naaman Forest Blvd
#2735
Garland, TX 75044-5679
Phone (972) 414-8801
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 |
|---|---|---|---|
| 2027084 | TX | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306066642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5649 NAAMAN FOREST BLVD",
"address_2": "#2735",
"city": "GARLAND",
"state": "TX",
"postal_code": "750445679",
"telephone_number": "972-414-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5649 NAAMAN FOREST BLVD",
"address_2": "APART# 2734",
"city": "GARLAND",
"state": "TX",
"postal_code": "750445679",
"telephone_number": "972-414-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENN",
"first_name": "ALLISON",
"middle_name": "HAYES",
"name_prefix": "Miss",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TX",
"license": "2027084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
- Yennier Peillon Gamboa, DNP, APRN, NP-C
- Alexandra Peisen, PT, DPT
- Cesar B Pena-Rodriguez, MD
- Darien Ammerman Pena, LPC-ASSOCIATE
- Jade Anna Penick
- Rebekkah Pennington, MA., LPC., LCDC
- Anthony Joseph Percuoco, DPT
- Maricela Perez, LBSW
- Perfect Healthcare Services Inc
- Perimeter Behavioral Hospital of Garland, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.