ANDREA NICOLE PENNINGTON-PEACE (NPI# 1255869335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255869335 |
| Entity Type | Individual |
| Full Name | ANDREA NICOLE PENNINGTON-PEACE |
| Credential | CSA |
| Practice Address |
1935 Medial District Dallas TX 75235 |
| Mailing Address |
223 Sandy Way Red Oak TX 75154-6550 |
| Practice Telephone | 2144562022 |
| Mailing Telephone | 2147045474 |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
4694 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1935 MEDIAL DISTRICT |
| City | DALLAS |
| State | TX |
| Zip Code | 75235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| 1922453455 | Denise Wilson | Social Worker | 8625 King George Dr. Suite 111, Dallas, TX 75235 | 2016-05-03 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100735 | Helpinghandsbyterri, LLC | Specialist/Technologist, Other | 4050 Mcewen Rd Apt 18102, Dallas, TX 75244-5458 | 2020-09-24 |
| 1780296814 | Caleb Colon | Specialist/Technologist, Other | 11936 Ravenview Rd, Dallas, TX 75253-2923 | 2020-08-19 |
| 1134752595 | Benchmark Surgical Assist | Specialist/Technologist, Other | 5510 Abrams Rd Ste 119a, Dallas, TX 75214-2099 | 2020-02-13 |
| 1093359101 | Aaron Helping Hands LLC | Specialist/Technologist, Other | 1121 Beachview St Apt 1302, Dallas, TX 75218-4613 | 2019-10-31 |
| 1285284083 | Misty M Denney | Specialist/Technologist, Other | 1222 Commerce St Apt 1111, Dallas, TX 75202-4373 | 2019-09-13 |
| 1932699295 | Elizabeth Rodriguez Vargas | Specialist/Technologist, Other | 15905 Bent Tree Forest Cir Apt 1093, Dallas, TX 75248-3402 | 2018-05-12 |
| 1538665849 | Jose Manuel Roberti Moccia | Specialist/Technologist, Other | 9182 Forest Ln Apt 210, Dallas, TX 75243-8939 | 2018-04-04 |
| 1104362789 | Johnny F Sanchez Sepulveda | Specialist/Technologist, Other | 13250 Emily Rd, Apt 806, Dallas, TX 75240-5977 | 2017-01-06 |
| 1447606553 | Javier Neuman | Specialist/Technologist, Other | 1333 N Peak St Apt 7200, Dallas, TX 75204-6704 | 2016-05-06 |
| 1003288259 | Hamid Reza Pirnajmedin | Specialist/Technologist, Other | 4808 Haverwood Ln Apt 1236, Dallas, TX 75287 | 2015-10-28 |
| Find all providers in DALLAS | ||||
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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.