MRS. CRYSTAL LOUISE PENA (NPI# 1710296785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710296785 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL LOUISE PENA |
| Credential | CPM, LM |
| Practice Address |
1220 N Spencer Ste 200 Mesa AZ 85203-4300 |
| Practice Telephone | 4807105665 |
| Practice Fax Number | 4804183366 |
| Mailing Telephone | 4807105665 |
| Mailing Fax Number | 4804183366 |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2015-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | 187 | AZ | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871064436 | Crystal Hustad Pena | Nurse Practitioner | 3440 Lomita Blvd Ste 240, Torrance, CA 90505-4871 | 2018-12-07 |
| 1003306341 | Crystal Pena | Behavior Technician | 3748 Kumukoa Pl, Honolulu, HI 96822-1106 | 2018-05-11 |
| 1376108639 | Crystal Pena | Physical Therapy Assistant | 4277 65th Pl, Woodside, NY 11377-5054 | 2019-05-02 |
| Street Address |
1220 N SPENCER STE 200 |
| City | MESA |
| State | AZ |
| Zip Code | 85203-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427453737 | Injoyable Birth Midwifery, Pllc | Midwife | 1220 N Spencer Ste 200, Mesa, AZ 85203-4300 | 2014-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
| 1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
| 1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
| 1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
| Find all providers in zip 85203 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100511 | Lyndsay King | Midwife | 40 W Brown Rd Ste 108, Mesa, AZ 85201-3400 | 2020-09-27 |
| 1649891359 | Sarah Elizabeth Kankiewicz | Midwife | 630 E Jensen St Unit 162, Mesa, AZ 85203-2594 | 2020-05-04 |
| 1134686728 | Brealin Graham | Midwife | 6730 E Preston St Unit 28, Mesa, AZ 85215-1046 | 2019-03-01 |
| 1073089108 | Cristina Diaz | Midwife | 1142 E Southern Ave, Mesa, AZ 85204-5055 | 2018-10-16 |
| 1861921132 | Alyssa Johns | Midwife | 5332 E.baseline Rd., Apt. 1091, Mesa, AZ 85206 | 2017-06-08 |
| 1912380254 | Jaimes Midwifery Services | Midwife | 1427 W Impala Ave, Mesa, AZ 85202-5810 | 2015-07-06 |
| 1598163099 | Dianah De Luna | Midwife | 3508 E Emelita Ave, Mesa, AZ 85204-4817 | 2014-12-15 |
| 1154666030 | Jennifer Jay Bass | Midwife | 6260 E Saddleback St, Mesa, AZ 85215-9639 | 2012-12-04 |
| 1447515044 | Selena Nelson | Midwife | 1333 N 64th Pl, Mesa, AZ 85205-4907 | 2012-07-10 |
| 1316277478 | Jennifer Hoeprich | Midwife | 650 S Country Club Dr, Apt 358, Mesa, AZ 85210-2338 | 2010-01-12 |
| 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.