Active NPI
Ashley Pena, RD, LD, CNSC
- Registered Dietitian
- Denton, TX
National Provider Identifier
1760805063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT82179
- Practice address
- 2800 Shoreline Dr Ste 120
Denton, TX 76210-0130 - Phone
- (940) 383-1240
- NPI assigned
- Jan 23, 2014
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT82179 | TX | Primary |
Addresses
Primary practice location
2800 Shoreline Dr Ste 120
Denton, TX 76210-0130
Mailing address
2800 Shoreline Dr Ste 120
Denton, TX 76210-0130
Phone (940) 383-1240
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT82179 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431648000000",
"number": "1760805063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 SHORELINE DR STE 120",
"city": "DENTON",
"state": "TX",
"postal_code": "762100130",
"telephone_number": "940-383-1240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 SHORELINE DR STE 120",
"city": "DENTON",
"state": "TX",
"postal_code": "762100130",
"telephone_number": "940-383-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "ASHLEY",
"name_prefix": "Miss",
"credential": "RD, LD, CNSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-23",
"last_updated": "2015-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT82179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.