JESUS M PENA (NPI# 1679921001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679921001 |
| Entity Type | Individual |
| Full Name | JESUS M PENA |
| Practice Address |
10 Centennial Dr Peabody MA 01960-7938 |
| Practice Telephone | 9785351110 |
| Practice Fax Number | 9785352907 |
| Mailing Telephone | 9785351110 |
| Mailing Fax Number | 9785352907 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922420512 | Jesus Ricardo Pena | Registered Nurse | 1516 Cynthia St, Edinburg, TX 78539-5442 | 2014-01-15 |
| 1457902116 | Jesus Edward Pena | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2019-09-24 |
| 1780846964 | Jesus Pena | Registered Nurse | 1515 Pappas St, Laredo, TX 78041-1705 | 2008-06-27 |
| 1174596498 | Jesus Pena | Psychiatry & Neurology | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2006-02-08 |
| Street Address |
10 CENTENNIAL DR |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-7938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811969389 | Anne L Hanley | Nurse Practitioner | 10 Centennial Dr, Peabody, MA 01960-7900 | 2006-02-07 |
| 1700492907 | Ashley Wedge | Physical Therapist | 10 Centennial Dr, Peabody, MA 01960-7938 | 2020-09-22 |
| 1285146258 | Pediatric Health Care Associates PC | Pediatrics | 10 Centennial Dr, Peabody, MA 01960-7938 | 2017-10-31 |
| 1912452665 | Danielle Driscoll | Nurse Practitioner | 10 Centennial Dr, Peabody, MA 01960-7938 | 2016-08-23 |
| 1225483795 | Anna Martel | Counselor | 10 Centennial Dr, Peabody, MA 01960-7938 | 2016-05-03 |
| 1235592213 | Kara Conway Raponi | Social Worker | 10 Centennial Dr, Peabody, MA 01960-7938 | 2016-03-29 |
| 1669846457 | Molly Hogan-fowler | Social Worker | 10 Centennial Dr, Peabody, MA 01960-7938 | 2015-11-17 |
| 1932577152 | Rita Mazina Turi | Nurse Practitioner | 10 Centennial Dr, Peabody, MA 01960-7938 | 2015-09-03 |
| 1710354121 | Melissa Elisabeth Gagne | Nurse Practitioner | 10 Centennial Dr, Peabody, MA 01960-7938 | 2015-09-01 |
| 1710365952 | Tina Spadafora | Student in an Organized Health Care Education/Training Program | 10 Centennial Dr, Peabody, MA 01960-7938 | 2015-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760094767 | Nicholas Ingham | Student in an Organized Health Care Education/Training Program | 10 Longwood Ave, Peabody, MA 01960-6631 | 2020-08-20 |
| 1760010300 | Nicole Katalina Angel | Student in an Organized Health Care Education/Training Program | 12 Krochmal Rd, Peabody, MA 01960-5114 | 2020-03-30 |
| 1376922260 | Katie Stannard | Student in an Organized Health Care Education/Training Program | 6 Carlton St, Peabody, MA 01960-5216 | 2015-05-25 |
| 1952781825 | Lauren Byrne | Student in an Organized Health Care Education/Training Program | 96 Forest St, Peabody, MA 01960-3907 | 2015-06-04 |
| 1710365952 | Tina Spadafora | Student in an Organized Health Care Education/Training Program | 10 Centennial Dr, Peabody, MA 01960-7938 | 2015-05-07 |
| 1811204621 | Tammy M Teneriello | Student in an Organized Health Care Education/Training Program | 9 Centennial Dr, Peabody, MA 01960-7939 | 2010-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356810 | Alyssa Collins | Student in an Organized Health Care Education/Training Program | 11 Porter Ln, West Dennis, MA 02670-2318 | 2020-11-03 |
| 1306447636 | Sarah Wieman | Student in an Organized Health Care Education/Training Program | 16 Blossom St Fl 1, Boston, MA 02114-3104 | 2020-11-03 |
| 1396346920 | Bridget Costello | Student in an Organized Health Care Education/Training Program | 171 Achilles Way, North Attleboro, MA 02763-4021 | 2020-11-01 |
| 1932709938 | Brianna Mae Duval | Student in an Organized Health Care Education/Training Program | 58 Colborne Rd, Boston, MA 02135-4103 | 2020-10-28 |
| 1992305338 | Rebecca Rivas | Student in an Organized Health Care Education/Training Program | 419 Court St, Brockton, MA 02302-2809 | 2020-10-26 |
| 1417556101 | Rachel Socolof | Student in an Organized Health Care Education/Training Program | 40 Boylston St Apt 1, Malden, MA 02148-7803 | 2020-10-22 |
| 1932707445 | Kennedy Tambi | Student in an Organized Health Care Education/Training Program | 68 Charles St, Fitchburg, MA 01420-7742 | 2020-10-16 |
| 1821696261 | Julia Elizabeth Erskine | Student in an Organized Health Care Education/Training Program | 119 Boston Ave Apt 1, Medford, MA 02155-3570 | 2020-10-16 |
| 1962000216 | Cidney Moscovitch | Student in an Organized Health Care Education/Training Program | 232 Chelsea St Apt 2, East Boston, MA 02128-1765 | 2020-10-09 |
| 1780281279 | Sarah Hamad Alsaggabi | Student in an Organized Health Care Education/Training Program | 55 Traveler St Apt 1310, Boston, MA 02118-2973 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JESUS M PENA.
| 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.