Nathalie Pena

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95031301 Issued in CA

Practice address

6 Tarman Dr
Cloverdale, CA 95425-3932

Phone

(707) 894-4229

NPI assigned

Jul 30, 2024

Sex

Female

Sole proprietor

Yes

Specialty

Nurse Practitioner

Education

University of Hawaii John a. Burns School of Medicine, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 30, 2024.

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1962231886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35581 SCARBOROUGH DR",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945602018",
            "telephone_number": "510-209-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TARMAN DR",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954253932",
            "telephone_number": "707-894-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "NATHALIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Lee Moore, OT
• Debbie Hart Morikawa, RN
• Richard A Nicholls, DDS
• Jennifer May Parr
• Niranjana Parthasarathi, MD
• Emilee Person, FNP
• Elizabeth Pile, FNP
• Lea Darya Queen, PSY.D
• Donna Raschke, PH.D.
• Andrea Rigby

• All providers in Cloverdale, CA
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.