ELIZABETH PENA (NPI# 1174041198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174041198 |
| Entity Type | Individual |
| Full Name | ELIZABETH PENA |
| Credential | ATC |
| Practice Address |
1000 W College Ave Silver City NM 88061-4112 |
| Mailing Address |
504 W Market St Silver City NM 88061-4952 |
| Practice Telephone | 5755386236 |
| Mailing Telephone | 5599094693 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467933283 | Elizabeth Robles Pena | Licensed Vocational Nurse | 280 Eaglerock, Poteet, TX 78065 | 2018-08-29 |
| 1073781928 | Elizabeth Pena | Clinic/Center | 2401 Bougainvillea Ave, Weslaco, TX 78596-7601 | 2008-02-13 |
| 1023632403 | Elizabeth Pena | Health Educator | 7675 Phoenix Dr, Houston, TX 77030-4700 | 2020-06-02 |
| 1962984427 | Elizabeth Pena | Behavior Technician | 4880 Market St, Ventura, CA 93003-7783 | 2018-08-31 |
| 1639692130 | Elizabeth Tommie Pena | Technician, Other | 400 E Royal Ln Bldg 3, Irving, TX 75039-3540 | 2017-07-17 |
| 1366881922 | Elizabeth Armenta Pena | Physician Assistant | 1915 E Mayfield Rd, Ste. 115, Arlington, TX 76014-2604 | 2013-06-17 |
| 1477809846 | Elizabeth Pena | Physical Medicine & Rehabilitation | 2727 W Holcombe Blvd, Houston, TX 77025-1669 | 2012-08-03 |
| 1831492826 | Elizabeth D Pena | Speech-Language Pathologist | 1 University Sta, 2504 A Whitis, Cma 2,200, Austin, TX 78712-0803 | 2010-12-13 |
| Street Address |
1000 W COLLEGE AVE |
| City | SILVER CITY |
| State | NM |
| Zip Code | 88061-4112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144759622 | Brittany Leigh Chiapetti | Behavior Technician | 1000 W College Ave, Silver City, NM 88061-4112 | 2017-06-08 |
| 1407359185 | Jasmine Elaine Succes | Specialist/Technologist | 1000 W College Ave, Silver City, NM 88061-4112 | 2018-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235764127 | Tanya Jacqueline Ruiz | Case Manager/Care Coordinator | 1000 Hudson St, Silver City, NM 88061 | 2020-03-11 |
| 1326686635 | Jasmine Jaylene Abeyta | Behavior Technician | 3903 N Pinos Altos Road, Silver City, NM 88061 | 2019-12-17 |
| 1548826829 | Stephanie Trujillo | Psychologist | 2810 N. Swan St., Silver City, NM 88061 | 2019-05-13 |
| 1619453784 | Courtney Ochoa | Counselor | 3200 32nd Street Bypass, Silver City, NM 88061 | 2018-07-12 |
| 1609369206 | Tara Arias | Behavior Technician | 2875 Grand Mesa St, Silver City, NM 88061 | 2018-06-08 |
| 1205339454 | Manuel A Ortega | Counselor | 1311 N Grant St Ste A, Silver City, NM 88061 | 2018-03-14 |
| 1720587058 | Manuel A. Martinez IIi | Social Worker | 3082 32nd Street Byp, Silver City, NM 88061 | 2018-02-01 |
| 1467971986 | Hidalgo Medical Services | Clinic/Center | 3200 32nd St Bypass, Silver City, NM 88061 | 2017-09-15 |
| 1245787316 | David Thomas Rivera | Social Worker | 2039 Cottage Sand Rd., Silver City, NM 88061 | 2016-09-07 |
| 1821462540 | Anthony Alibah | Pharmacist | 100 Rosdale Road, Walgreens, Silver City, NM 88061 | 2015-11-18 |
| Find all providers in zip 88061 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295121705 | Laurence Castillo | Specialist/Technologist | 701 Broken Arrow Dr, Silver City, NM 88061-3308 | 2015-04-10 |
| 1114945151 | Christopher K. Crater | Specialist/Technologist | 1000 W. College Avenue, Wnmu Athletic Department, Silver City, NM 88062 | 2006-07-17 |
| 1225065055 | Joshua Bradley | Specialist/Technologist | 528 Highway 180 W, Silver City, NM 88061-4400 | 2006-06-27 |
| 1700886025 | Michael Mcmillan | Specialist/Technologist | 1268 E 32nd St, Silver City, NM 88061-7229 | 2005-07-28 |
| 1407359185 | Jasmine Elaine Succes | Specialist/Technologist | 1000 W College Ave, Silver City, NM 88061-4112 | 2018-03-09 |
| 1578834768 | Terra L Strain | Specialist/Technologist | 1000 College Ave, Silver City, NM 88061-0680 | 2012-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312779 | Gabrielle Julia Atencio | Specialist/Technologist | 53 Road 3312, Aztec, NM 87410-9516 | 2020-10-05 |
| 1447867403 | Hayley Lucero | Specialist/Technologist | 2300 Diamond Mesa Trl Sw Apt 9702, Albuquerque, NM 87121-3723 | 2020-09-24 |
| 1770197709 | Tracy Murtha | Specialist/Technologist | 29 Teddy Bear Lane, Eagle Nest, NM 87718 | 2020-09-08 |
| 1881228815 | Richard Webster | Specialist/Technologist | 1315 Casady Dr, Alamogordo, NM 88310-5346 | 2020-02-28 |
| 1518504885 | Douglas Richard Spence | Specialist/Technologist | 2920 Leopoldo Rd Nw, Albuquerque, NM 87104-2728 | 2019-12-05 |
| 1265081285 | James Eagle | Specialist/Technologist | 21 Cougar Rdg, Santa Fe, NM 87505-8196 | 2019-09-11 |
| 1770136459 | Yangmi Kang | Specialist/Technologist | 825 S Telshor Blvd Apt 59, Las Cruces, NM 88011-4645 | 2019-07-22 |
| 1477105922 | Haden Gregory Maloney | Specialist/Technologist | 8 Riverview Cir, Roswell, NM 88201-9197 | 2019-07-15 |
| 1972155349 | Daisuke Shibata | Specialist/Technologist | 1 University of New Mexico # 42610, Albuquerque, NM 87131-0001 | 2019-07-15 |
| 1467917997 | Austin Frazier | Specialist/Technologist | 1181 Mall Dr Ste C, Las Cruces, NM 88011-8105 | 2019-02-08 |
| Find all providers with the same taxonomy | ||||
| City | SILVER CITY |
| Zip Code | 88061 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.