Katherine Carrera Pena, DNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R262421 Issued in MD

Practice address

14955 Shady Grove Rd Ste 380
Rockville, MD 20850-8717

Phone

(301) 424-6181

Fax

(301) 424-0834

NPI assigned

Dec 14, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Associates

  • Primary Care Clinic/Center
  • Wheaton, MD
  • NPI 1295921534
  NPD (past)

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1669240065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14955 SHADY GROVE RD STE 380",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508717",
            "telephone_number": "301-424-6181",
            "fax_number": "301-424-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14955 SHADY GROVE RD STE 380",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508717",
            "telephone_number": "301-424-6181",
            "fax_number": "301-424-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERA PENA",
        "first_name": "KATHERINE",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R262421",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R262421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Carranza
• Cristal Carranza
• Maria Carranza
• Yohelis Carranza
• Fabiana Carrasco
• Domenica Holzle Carrese, LCMFT, MS
• Angel Ventura Carrillo
• Jenea Carrington
• Lindale Deonta Carrington
• Esther Carrion

• Pediatric Nurse Practitioner in Rockville, MD
• Providers in Rockville, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.