ELYSSA EMILY PENA (NPI# 1992126726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992126726 |
| Entity Type | Individual |
| Full Name | ELYSSA EMILY PENA |
| Credential | B.A |
| Practice Address |
12512 Bruce B. Downs Blvd Tampa FL 33612 |
| Mailing Address |
16705 Whispering Glen Dr. Lutz FL 33558 |
| Practice Telephone | 8139778700 |
| Practice Fax Number | 8139758138 |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
12512 BRUCE B. DOWNS BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063068229 | Grace Davila | Case Manager/Care Coordinator | 6107 Memorial Hwy Ste G, Tampa, FL 33615-4564 | 2019-08-14 |
| 1568015931 | Tiffany Green | Case Manager/Care Coordinator | 100 S. Ashley Drive, Suite 600, Tampa, FL 33602-3360 | 2019-07-24 |
| 1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
| 1306347729 | April Marie Syx | Case Manager/Care Coordinator | 15501 Bruce B Downs Blvd Apt 1109, Tampa, FL 33647-1306 | 2018-02-21 |
| 1942712799 | Rosalind Mckever | Case Manager/Care Coordinator | 7305 South Kissimmee Street, Tampa, FL 33616 | 2017-11-02 |
| 1932626272 | Rogerick Green Sr. | Case Manager/Care Coordinator | 7853 Gunn Hwy # 133, Tampa, FL 33626-1611 | 2017-08-28 |
| 1609390129 | Tatiana Usova-lorenzo | Case Manager/Care Coordinator | 1220 S Dale Mabry Hwy Ste 201, Tampa, FL 33629-5019 | 2017-07-26 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1043745565 | Claudia Duran | Case Manager/Care Coordinator | 4001 W Dr Mlk Blvd, Tampa, FL 33614-7011 | 2017-04-21 |
| 1821547894 | Phyllis Thomas Powell | Case Manager/Care Coordinator | 1310 Four Seasons Blvd, Tampa, FL 33613-2326 | 2016-09-30 |
| Find all providers in TAMPA | ||||
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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.