Jennifer L Pena, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60582711 Issued in WA

Practice address

1801 Lind Ave SW BLDG D
Renton, WA 98057-3368

Phone

(425) 227-3700

Fax

(425) 227-3116

NPI assigned

Sep 11, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1417838756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23912 113TH PL SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980315309",
            "telephone_number": "206-214-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 LIND AVE SW BLDG D",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573368",
            "telephone_number": "425-227-3700",
            "fax_number": "425-227-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60582711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Pedersen
• Antonio Pedroza, MD
• Nicole Natalie Peerson, PT
• Felix E Pekar, MSW
• Leslie Pelaez, LMP
• Joseph Pena, COTA
• Shaoping Peng
• Ivanna Penunuri, CMA
• Ellendee Pepper, MD
• Cornel Aurel Perde

• Registered Nurse in Renton, WA
• Providers in Renton, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.