Vanessa Ileana Pena, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA13217 Issued in FL

Practice address

5600 Spring Park Rd Ste 102
Jacksonville, FL 32216-5989

Phone

(305) 301-4870

NPI assigned

May 9, 2014

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

Enrolled in CA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All Care Physical Therapy, PCGroup PAC ID 5890972335, 174 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 37)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All Care Physical Therapy, P.C.

  • Physical Therapist
  • Woodland Hills, CA
  • NPI 1104120385

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Penya Bilingual Speech & Language Therapy Inc.

  • Speech-Language Pathologist
  • Jacksonville, FL
  • NPI 1982110201
  NPD Authorized official
• Slptele LLC

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1497393557

  CA

  Medicare reassignment
• Seersoft

  • Physical Therapist
  • Granada Hills, CA
  • NPI 1790928901
  NPD (past)
• The Hand & Upper Extremity Center Inc

  • Hand Occupational Therapist
  • Simi Valley, CA
  • NPI 1730360561
  NPD (past)

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1477964625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 SPRING PARK RD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165989",
            "telephone_number": "904-694-2800",
            "fax_number": "904-515-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 SPRING PARK RD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165989",
            "telephone_number": "305-301-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "VANESSA",
        "middle_name": "ILEANA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Pena, D.O.
• Isangel Milmar Pena
• Joanna Pena, APRN
• Louise Pena, RBT
• Rose Marie Pena
• Luis Alberto Penaranda Bolano, M.D.
• Ailyn Penate
• Richard Pence, CRNA
• Dejana Pendarvis
• Kouvaris Pender

• Speech-Language Pathologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.