Mae Magdalen Centeno, MS RN,CCRN,CCNS,ACNS

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

552502 Issued in TX

Practice address

621 N Hall St
Suite 120
Dallas, TX 75226-1339

Phone

(214) 820-1740

Fax

(214) 820-1638

NPI assigned

Mar 13, 2007

Last updated

Jul 28, 2009By the provider in NPPES

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

Other names 1

• Mae Magdalen Centeno Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Registered Nurse

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1316070287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 AMETHYST LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750231936",
            "telephone_number": "972-517-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N HALL ST",
            "address_2": "SUITE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261339",
            "telephone_number": "214-820-1740",
            "fax_number": "214-820-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTENO",
        "first_name": "MAE",
        "middle_name": "MAGDALEN",
        "credential": "MS RN,CCRN,CCNS,ACNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "552502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAE",
            "last_name": "CENTENO",
            "middle_name": "MAGDALEN",
            "credential": "MS RN,CCRN,CCNS,ACNS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Censeohealth TX Essential Care Partners
• Censeohealth TX North Texas
• Censeohealth TX Texas
• Centennial Home Health Inc
• Centennial Patient Transportation Services Corporation
• Silvia Natalia Centeno
• Center for Balance and Transformation, LLC
• Center for Biblical Counseling of Dallas, Inc (CBC)
• Center for Cardiovascular Health PLLC
• Center for Counseling and Wellbeing

• Adult Health Clinical Nurse Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Adult Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.