JENNIFER K. PENA (NPI# 1386795045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386795045 |
| Entity Type | Individual |
| Full Name | JENNIFER K. PENA |
| Practice Address |
1025 N Country Club Dr Mesa AZ 85201-3307 |
| Mailing Address |
950 N Sunvalley Blvd Mesa AZ 85207-3801 |
| Practice Telephone | 4804720727 |
| Practice Fax Number | 4804720705 |
| Mailing Telephone | 4804725451 |
| Mailing Fax Number | 4804723999 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP0834 | AZ | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 711798 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962759878 | Jennifer Lynn Pena | Nurse Practitioner | 9220 W Sunset Blvd, Suite 110, Los Angeles, CA 90069-3501 | 2012-08-09 |
| 1871851840 | Jennifer Nico Pena | Social Worker | 232 E Broadway, New York, NY 10002-5601 | 2012-04-27 |
| 1093341919 | Jennifer Marie Pena | Physician Assistant | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2020-03-23 |
| 1548800311 | Jennifer Renee Pena | Registered Nurse | 4444 Corona Dr Ste 107, Corpus Christi, TX 78411-4374 | 2020-01-09 |
| 1215424478 | Jennifer Pena | Counselor | 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 | 2018-04-13 |
| 1871990234 | Jennifer Pena | Social Worker | 908 Sierra Dr, Modesto, CA 95351-3254 | 2014-12-01 |
| 1003211590 | Jennifer Pena | Case Manager/Care Coordinator | 37 John St, Amityville, NY 11701-2930 | 2014-10-27 |
| 1114274230 | Jennifer E Pena | Physical Therapist | 1425 Viscaya Pkwy, Suite 205, Cape Coral, FL 33990-3294 | 2012-08-08 |
| 1639332554 | Jennifer M Pena | Internal Medicine | 6355 Walker Ln Ste 500, Alexandria, VA 22310-3251 | 2008-07-10 |
| 1558472860 | Jennifer M Pena | Nurse Practitioner | 800 E 28th St, Suite H2100, Minneapolis, MN 55407-3723 | 2006-08-31 |
| Street Address |
1025 N COUNTRY CLUB DR |
| City | MESA |
| State | AZ |
| Zip Code | 85201-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144200288 | Debra Gonzales | Registered Nurse | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2006-01-17 |
| 1629678693 | Autrey Taylor Veitel | Specialist/Technologist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2020-10-29 |
| 1790390375 | Rebecca Ann Galaviz | Registered Nurse | 1025 N Country Club Dr, Mesa, AZ 85201-3302 | 2020-09-10 |
| 1811506652 | Erika Mcsweeney | Occupational Therapist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2020-07-28 |
| 1780293415 | Samantha Gubka | Occupational Therapist | 1025 N Country Club Dr, Mesa, AZ 85201-3302 | 2020-07-28 |
| 1003425851 | Kaye Sjoholm | Physical Therapist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2020-07-28 |
| 1740899574 | Brooke Danielle Ermisch | Speech-Language Pathologist | 1025 N Country Club Dr, Mesa, AZ 85201-3302 | 2020-07-28 |
| 1023626371 | Taylor Dunnahoo | Speech-Language Pathologist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2020-07-22 |
| 1093349524 | Jana Campos | Occupational Therapist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2020-02-24 |
| 1730719287 | Nicole Frey | Registered Nurse | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2020-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043829880 | Micaela Nitzel | Speech-Language Pathologist | 545 N Horne, Mesa, AZ 85203-7124 | 2020-07-28 |
| 1376152199 | Charlotte Torma | Speech-Language Pathologist | 630 N Hunt Dr, Mesa, AZ 85203-6533 | 2020-07-28 |
| 1568071397 | Ashton Belew | Speech-Language Pathologist | 930 S Sirrine, Mesa, AZ 85210-3736 | 2020-07-28 |
| 1023627866 | Rachel Marie Ladzinski | Speech-Language Pathologist | 202 N Sycamore, Mesa, AZ 85201-6150 | 2020-07-28 |
| 1881203511 | Taylor Ann Templeton | Speech-Language Pathologist | 3220 E Pueblo Ave, Mesa, AZ 85204-4028 | 2020-07-28 |
| 1639788490 | Jessica Tsay | Speech-Language Pathologist | 9410 E Mckellips Rd, Mesa, AZ 85207-2631 | 2020-07-28 |
| 1487205795 | Haley Mulherin | Speech-Language Pathologist | 463 S Alma School Rd, Mesa, AZ 85210-1014 | 2019-09-27 |
| 1134778384 | Bailey Farnsworth | Speech-Language Pathologist | 2325 E Adobe St, Mesa, AZ 85213-6713 | 2019-09-10 |
| 1821658956 | Diane Marie Senffner | Speech-Language Pathologist | 4133 N Boulder Cyn, Mesa, AZ 85207-0970 | 2019-06-20 |
| 1790267599 | Elisabeth Rieks | Speech-Language Pathologist | 945 W Rio Salado Pkwy, Mesa, AZ 85201-3902 | 2018-08-29 |
| Find all providers in MESA | ||||
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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.