ANDREA NICOLE PENNINGTON-PEACE CSA
NPI 1255869335
Specialist/Technologist, Other - Surgical Assistant in Dallas, TX

Active since June 01, 2017
1935 MEDIAL DISTRICT, DALLAS, TX 75235(214) 456-2022 Get Directions Write a Review

NPPES record last updated: June 1, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrea Nicole Pennington-peace Csa NPPES

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

ANDREA NICOLE PENNINGTON-PEACE CSA (NPI 1255869335) is an individual surgical assistant in Dallas, Texas, licensed in Texas (4694) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1255869335
Entity TypeIndividualFemale
Primary Taxonomy246ZC0007X
Provider Legal NameANDREA NICOLE PENNINGTON-PEACECredential: CSA
Location Address1935 MEDIAL DISTRICTDallas, TX 75235
Mailing Address223 Sandy WayRed Oak, TX 75154-6550 · (214) 704-5474
Sole ProprietorYes
Enumeration DateJune 1, 2017
NPI 1255869335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License Licensed in TX · 4694
Definition
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.
1935 MEDIAL DISTRICT, Dallas, TX 75235

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Andrea Pennington-peace's NPI number?

The NPI number for Andrea Pennington-peace is 1255869335. It was assigned to this individual provider in the NPPES registry on June 1, 2017.

Where is Andrea Pennington-peace located?

Andrea Pennington-peace practices at 1935 Medial District, Dallas, TX 75235. The listed phone number is (214) 456-2022.

What is Andrea Pennington-peace's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Andrea Pennington-peace was last updated on June 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.