Active NPI
Vickiana Pena
- Doula
- Brooklyn, NY
National Provider Identifier
1689241127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 10 Beaver St
Brooklyn, NY 11206-4517 - Phone
- (917) 396-9495
- NPI assigned
- Jun 4, 2021
- Reactivated
- Aug 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
10 Beaver St
Brooklyn, NY 11206-4517
Mailing address
10 Beaver St
Brooklyn, NY 11206-4517
Phone (917) 396-9495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1689241127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BEAVER ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112064517",
"telephone_number": "917-396-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BEAVER ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112064517",
"telephone_number": "917-396-9495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "VICKIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-04",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"deactivation_date": "2022-07-08",
"reactivation_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.