Patricia L. Pena, RD/LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT03891 Issued in TX

Practice address

3204 S Sugar Rd
Edinburg, TX 78539-3693

Phone

(956) 380-0798

Fax

(956) 380-0550

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Easter Seals Rio Grande Valley

  • Developmental Disabilities Clinic/Center
  • McAllen, TX
  • NPI 1427172782

  Dietitian, Registered

  NPD (past)
• Zepol Inc

  • Registered Dietitian
  • Edinburg, TX
  • NPI 1962812537

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1689681926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 S SUGAR RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393693",
            "telephone_number": "956-380-0798",
            "fax_number": "956-380-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 S SUGAR RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393693",
            "telephone_number": "956-380-0798",
            "fax_number": "956-380-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1217 W Houston Ave",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785015012",
            "country_code": "US",
            "telephone_number": "956-631-9171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "PATRICIA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "RD/LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT03891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004460404",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004460405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004460403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katia Denisse Pena
• Laurie Ann Pena, MS, LCDC, LPC
• Lora Lisa Pena, M.S., CCC-SLP
• Lorena Carolina Pena, R.D., L.D.
• Maria Elma Pena
• Samuel Pena, PA
• Santa E. Pena, LPC
• Thelma Pena, FNP
• Victor Pena, PA
• Evelyn Perales, LPC

• Registered Dietitian in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.