Individual provider Active NPI

Penelope Treece, M.D.

  • Specialist
  • Metairie, LA
National Provider Identifier
1881669869
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
021535 Issued in LA
Practice address
3815 Hessmer Ave
Metairie, LA 70002-3211
Phone
(504) 779-7749
Fax
(504) 779-7763
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 021535 LA Primary

Addresses

Primary practice location

3815 Hessmer Ave
Metairie, LA 70002-3211

Mailing address

3815 Hessmer Ave
Metairie, LA 70002-3211
Phone (504) 779-7749

Other identifiers 1

IdentifierTypeStateIssuer
1924458MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120605000722 LA Practitioner - General PracticePractitioner - Plastic and Reconstructive Surgery 9436221009 Practice locations: Metairie, LA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
021535LAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881669869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 HESSMER AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023211",
            "telephone_number": "504-779-7749",
            "fax_number": "504-779-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 HESSMER AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023211",
            "telephone_number": "504-779-7749",
            "fax_number": "504-779-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREECE",
        "first_name": "PENELOPE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "021535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1924458",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.