NATHAN JAMAL PENA IDC
NPI 1134576390
Military Health Care Provider - Independent Duty Corpsman in Fort Worth, TX

Q: What is Nathan Pena's NPI number?

The NPI number for Nathan Pena is 1134576390. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Q: What is Nathan Pena's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Pena was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 18, 2016

1711 D ST, FORT WORTH, TX 76127(817) 782-5933 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nathan Jamal Pena Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN JAMAL PENA IDC (NPI 1134576390) is an individual independent duty corpsman provider in Fort Worth, Texas and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1134576390

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameNATHAN JAMAL PENACredential: IDC

Location Address1711 D STFort Worth, TX 76127

Mailing AddressPo Box 280028, Bldg 1320Jacksonville, FL 32228-0028 · (904) 270-6292

Phone(817) 782-5933

Sole ProprietorNo

Enumeration DateMay 18, 2016

Last NPPES UpdateJanuary 31, 2025

NPPES CertifiedJanuary 30, 2025

✔ NPI 1134576390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

Also ListedMilitary Health Care ProviderTaxonomy 171000000X

1711 D ST, Fort Worth, TX 76127

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Pena's NPI number?

The NPI number for Nathan Pena is 1134576390. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Where is Nathan Pena located?

Nathan Pena practices at 1711 D St, Fort Worth, TX 76127. The listed phone number is (817) 782-5933.

What is Nathan Pena's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Nathan Pena was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.