Holly P. De la Pena, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1028899 Issued in KY

Practice address

200 City Hill Dr
London, KY 40741-3038

Phone

(606) 878-6633

NPI assigned

Mar 15, 2007

Last updated

Nov 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Nancy V Morris MD PLLC

  dba Laurel Medical Associates

  • Internal Medicine Physician
  • London, KY
  • NPI 1528024734
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1952435570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 SASSER SCHOOL RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CITY HILL DR",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413038",
            "telephone_number": "606-878-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA PENA",
        "first_name": "HOLLY",
        "middle_name": "P.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "1028899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Denise Davidson, TCM
• Charles Eugene Davis III, PA
• Matthew Tyler Davis, LPA
• Mikala Day
• Rebecca Ann Day, FNP
• Anthony A Decarlo, D.C.
• Johnnie Sue Dell, APRN
• Andrea D Demaria, PMHNP-BC
• Dentures Plus of London LLC
• Vincent Angelo Depalma, D.O.

• Surgical Physician Assistant in London, KY
• Providers in London, KY by specialty
• Surgical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.