Active NPI
Amy Pena, M.S., CCC, SLP
- Speech-Language Pathologist
- Weslaco, TX
National Provider Identifier
1881949378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 107177
- Practice address
- 1716 E 1St St
Weslaco, TX 78596-5397 - Phone
- (956) 456-8044
- NPI assigned
- Jul 20, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 107177 | TX | Primary |
Addresses
Primary practice location
1716 E 1St St
Weslaco, TX 78596-5397
Mailing address
1716 E 1St St
Weslaco, TX 78596-5397
Other practice location 1
100 N Texas Ave
Ste C
Mercedes, TX 78570-2723
Phone (956) 514-9990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107177 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance Outpatient Rehabilitation Center, LLC | Past | Accepting new patients | |
| Skyline Academy, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba POST Rio Grande Valley
- Rehabilitation Clinic/Center
- McAllen, TX
- NPI 1609606367
-
- Rehabilitation Clinic/Center
- McAllen, TX
- NPI 1508330713
-
dba Skyline Development Center
- Assistant Behavior Analyst
- Pharr, TX
- NPI 1447058383
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1881949378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 E 1ST ST",
"city": "WESLACO",
"state": "TX",
"postal_code": "785965397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 E 1ST ST",
"city": "WESLACO",
"state": "TX",
"postal_code": "785965397",
"telephone_number": "956-456-8044"
}
],
"practiceLocations": [
{
"address_1": "100 N Texas Ave",
"address_2": "Ste C",
"address_purpose": "LOCATION",
"city": "Mercedes",
"state": "TX",
"postal_code": "785702723",
"country_code": "US",
"telephone_number": "956-514-9990",
"fax_number": "956-514-9996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENA",
"first_name": "AMY",
"credential": "M.S., CCC, SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-20",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "107177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weslaco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.