Gracie Marie Pena, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

346926 Issued in TX

Practice address

6831 Loma Secca
San Antonio, TX 78233-5395

Phone

(210) 633-4837

NPI assigned

Feb 19, 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": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1396201950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 LOMA SECCA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782335395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6831 LOMA SECCA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782335395",
            "telephone_number": "210-633-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "GRACIE",
        "middle_name": "MARIE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "346926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Pena, B.A., SLP-ASSISTANT
• Desiree Pena
• Edith Pena, DDS
• Fernando J Pena, MD
• Gabriele H Pena, RN
• Herbert Pena, P.T.A.
• Heriberto Pena Jr., LCSW
• Humberto Pena Jr.
• Jeanette N Pena, LMSW
• Jesse Martin Pena

• Licensed Vocational Nurse in San Antonio, TX
• Providers in San Antonio, 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 Feb 19, 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.