Individual provider Active NPI

Lynda Pena Human, CPNP, PHMNP

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1902295215
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP127048 Issued in TX
Practice address
8500 Boeing Dr
El Paso, TX 79925-1224
Phone
(915) 599-6600
Fax
(915) 629-2680
NPI assigned
Jan 10, 2015
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 757699 TX
Pediatric Nurse Practitioner 363LP0200X AP127048 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP127048 TX Primary

Addresses

Primary practice location

8500 Boeing Dr
El Paso, TX 79925-1224

Mailing address

PO Box 972733
El Paso, TX 79997-2733
Phone (999) 999-9999

Other names 1

  • Mrs. Lynda Human Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190530002829 TX Practitioner - Nurse Practitioner 3971836271 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
757699TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Community MHMR CurrentSince Apr 1, 2019 Accepting new patients
El Paso Community MHMR CurrentSince Apr 1, 2019 Accepting new patients

Locations

1600 Montana Ave
El Paso, TX 79902
Phone (915) 877-3410

201 E Main Dr
Ste 600
El Paso, TX 79901
Phone (915) 887-3419

8500 Boeing Dr
El Paso, TX 79925
Phone (915) 242-0555

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1420848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1902295215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 972733",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799972733",
            "telephone_number": "999-999-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 BOEING DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251224",
            "telephone_number": "915-599-6600",
            "fax_number": "915-629-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA HUMAN",
        "first_name": "LYNDA",
        "name_prefix": "Mrs.",
        "credential": "CPNP, PHMNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-10",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "757699",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP127048",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP127048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDA",
            "last_name": "HUMAN",
            "prefix": "MRS.",
            "credential": "CPNP, PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.