Kiara Danielle Pena

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

4016 Woodbine Ave
Cleveland, OH 44113-3286

Phone

(216) 838-6400

NPI assigned

Jul 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kiara Danielle De Jesus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cleveland Metropolitan School District

  • Local Education Agency (LEA)
  • Cleveland, OH
  • NPI 1720403934
  NPD

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1609484021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR AVE E STE 1800",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142500",
            "telephone_number": "216-838-0410",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 WOODBINE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133286",
            "telephone_number": "216-838-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "KIARA",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": "RBT-20-126331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIARA",
            "last_name": "DE JESUS",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison Peluso
• Pamela Pembridge
• Leann Nicole Pena Garcia, M.S., SLP-CF
• Cinthya Pena Orbea, MD
• Isabel Nicole Pena, PA-C
• Nathaniel Andrew Pena, CDCA
• Julia Rae Penberthy, APRN
• Earl Pence, PMHNP-BC
• John Kevin Pendas, MD
• Da'Mia Pender

• Speech-Language Pathologist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.