Active NPI
Yomeida De la Pena, MS, LAT, ATC, CES
- Athletic Trainer
- Corpus Christi, TX
National Provider Identifier
1821974049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 5977
- Practice address
- 2653 McKinzie Rd
Corpus Christi, TX 78410 - Phone
- (361) 903-6725
- NPI assigned
- Aug 13, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 5977 | TX | Primary |
Addresses
Primary practice location
2653 McKinzie Rd
Corpus Christi, TX 78410
Mailing address
544 Olympic
Portland, TX 78374-1241
Phone (832) 332-4377
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5977 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1821974049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "544 OLYMPIC",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783741241",
"telephone_number": "832-332-4377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2653 MCKINZIE RD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "78410",
"telephone_number": "361-903-6725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA PENA",
"first_name": "YOMEIDA",
"credential": "MS, LAT, ATC, CES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-13",
"last_updated": "2025-08-13",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "5977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.