Penny Logan Mayo, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

151385 Issued in TX

Practice address

4036 Pershing Ave
Fort Worth, TX 76107-4413

Phone

(817) 800-0848

NPI assigned

Nov 18, 2019

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": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1356987036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 PERSHING AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761074413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 PERSHING AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761074413",
            "telephone_number": "817-800-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "PENNY",
        "middle_name": "LOGAN",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "151385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Eugene Mayfield, MD
• Meriane Florida Mayhew, APRN
• Mayme Richie-Gillespie, M.D., P.a.
• Carol Ann Mayo, LMT
• Katherine Watkins Mayo
• Joey Mayor, MD
• Sarah Mayorga, M.S., SLP- INTERN
• Hillary A. Mayrhofer, BCBA
• Christine Mays, M.ED., CHW
• Krista Lynn Mays

• Licensed Vocational Nurse in Fort Worth, TX
• Providers in Fort Worth, 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 Nov 18, 2019; 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.