Active NPI
Penny Nunez McDonough
- Case Manager/Care Coordinator
- Las Vegas, NV
National Provider Identifier
1780008938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 6550 S Pecos Rd Ste B-115
Las Vegas, NV 89120-2828 - Phone
- (415) 690-6635
- NPI assigned
- Feb 8, 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Peer Specialist | 175T00000X | CA | ||
| Case Management Agency | 251B00000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
6550 S Pecos Rd Ste B-115
Las Vegas, NV 89120-2828
Mailing address
6550 S Pecos Rd Ste B-115
Las Vegas, NV 89120-2828
Phone (415) 690-6635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003305483 | Medicaid | CA |
Other names 1
- Ms. Penny Nunez
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Penny.nunez@gmail.com | Direct | POSiTiVE Health |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Health | Behavior Analyst | Current | Accepting new patients |
Locations
6550 S Pecos Rd
Ste B115
Las Vegas, NV 89120
Phone (415) 690-6635
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1780008938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 S PECOS RD STE B-115",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891202828",
"telephone_number": "415-690-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 S PECOS RD STE B-115",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891202828",
"telephone_number": "415-690-6635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ MCDONOUGH",
"first_name": "PENNY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-08",
"last_updated": "2023-11-27",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003305483",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Penny.nunez@gmail.com",
"affiliation": "Y",
"affiliationName": "POSiTiVE Health",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6550 S Pecos Rd Ste B-115",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891202828",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "PENNY",
"last_name": "NUNEZ",
"prefix": "MS.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.