NPIMap

Individual provider Active NPI

Marilyn Lee Pena, CRTT

  • Critical Care Certified Respiratory Therapist
  • Tucson, AZ
National Provider Identifier
1508001835
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Certified Respiratory TherapistTaxonomy code 2278C0205X
License
006538 Issued in AZ
Practice address
699 W Magee Rd Apt 5101
Tucson, AZ 85704-4666
Phone
(520) 300-1551
NPI assigned
Dec 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Certified Respiratory Therapist 2278C0205X 006538 AZ Primary
Emergency Care Certified Respiratory Therapist 2278E0002X 006538 AZ
General Care Certified Respiratory Therapist 2278G1100X 006538 AZ

Addresses

Primary practice location

699 W Magee Rd Apt 5101
Tucson, AZ 85704-4666

Mailing address

699 W Magee Rd Apt 5101
Tucson, AZ 85704-4666
Phone (520) 300-1551

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": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1508001835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 W MAGEE RD APT 5101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044666",
            "telephone_number": "520-300-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 W MAGEE RD APT 5101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044666",
            "telephone_number": "520-300-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "MARILYN",
        "middle_name": "LEE",
        "credential": "CRTT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Critical Care",
            "state": "AZ",
            "license": "006538",
            "primary": true
        },
        {
            "code": "2278E0002X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Emergency Care",
            "state": "AZ",
            "license": "006538",
            "primary": false
        },
        {
            "code": "2278G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": "AZ",
            "license": "006538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.