Yennier Peillon Gamboa, DNP, APRN, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP145396 Issued in TX

Practice address

1912 S 1St St
Garland, TX 75040-8409

Phone

(469) 996-5502

NPI assigned

Apr 22, 2020

Last updated

Jan 21, 2024By the provider in NPPES

Sex

Male

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Sowmya Puthalapattu PA

  • Nephrology Physician
  • Kingwood, TX
  • NPI 1427494087
  Medicare reassignment NPD
• Clinica Guadalupe Garland, LLC

  dba Clinica Familiar La Virgen de Guadalupe

  • Family Medicine Physician
  • Garland, TX
  • NPI 1639889306
  NPD
• Essam a Girgawy MD PA

  • Infectious Disease Physician
  • Kingwood, TX
  • NPI 1841322872
  NPD (past)
• Guadalupe MC LLC

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1437720257
  NPD (past)
• MD Family Solutions PLLC

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1447023916
  NPD (past)

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1356961122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14615 BREYANA PARK LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964799",
            "telephone_number": "713-714-1245",
            "fax_number": "832-412-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 S 1ST ST",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750408409",
            "telephone_number": "469-996-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEILLON GAMBOA",
        "first_name": "YENNIER",
        "credential": "DNP, APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP145396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peco Enterprises Inc (Medicos)
• Pedi Spot LLC
• Pediatric Pro Children's Dentistry & Orthodontics
• Pediatric Radioanesthesia Supply
• Pediatrics Care Clinic
• Alexandra Peisen, PT, DPT
• Cesar B Pena-Rodriguez, MD
• Darien Ammerman Pena, LPC-ASSOCIATE
• Jade Anna Penick
• Allison Hayes Penn, PTA

• Primary Care Nurse Practitioner in Garland, TX
• Providers in Garland, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.