Active NPI
Clarissa Pena
- Case Management Agency
- Altamonte Springs, FL
National Provider Identifier
1265807549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 685 Ashford Oaks Dr Apt 205
Altamonte Springs, FL 32714-5562 - Phone
- (610) 207-3228
- NPI assigned
- Dec 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
685 Ashford Oaks Dr Apt 205
Altamonte Springs, FL 32714-5562
Mailing address
685 Ashford Oaks Dr Apt 205
Altamonte Springs, FL 32714-5562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1265807549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 ASHFORD OAKS DR APT 205",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327145562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 ASHFORD OAKS DR APT 205",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327145562",
"telephone_number": "610-207-3228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "CLARISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-11",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.