Emma Gertude Pena

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

5121 Issued in FL

Practice address

11172 Point Sylvan Cir Apt H
Orlando, FL 32825-6046

Phone

(321) 890-8461

NPI assigned

Mar 9, 2022

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

State licenses

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1679220602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11172 POINT SYLVAN CIR APT H",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328256046",
            "telephone_number": "321-890-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11172 POINT SYLVAN CIR APT H",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328256046",
            "telephone_number": "321-890-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "EMMA",
        "middle_name": "GERTUDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "5121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Pena, CRNA
• Burt H. Pena, CRNA
• Claudia Pena
• Deogracias R Pena, MD
• Domys Esther Pena, APRN
• Fania Pena, OTR
• Fanny Pena
• Jessica M Pena, CRNA
• Krystal Pena
• Lesley Pena

• Speech-Language Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.