Marisa Pena-Alfaro, LCCE, CD

Primary specialty

DoulaTaxonomy code 374J00000X

License

4020 Issued in IL

Practice address

14680 Perthshire Rd Apt a
Houston, TX 77079-7636

Phone

(713) 823-5033

NPI assigned

Aug 4, 2010

Last updated

Aug 4, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1720392541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14680 PERTHSHIRE RD APT A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770797636",
            "telephone_number": "713-823-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14680 PERTHSHIRE RD APT A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770797636",
            "telephone_number": "713-823-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA-ALFARO",
        "first_name": "MARISA",
        "name_prefix": "Ms.",
        "credential": "LCCE, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "IL",
            "license": "4020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MARISAGENIAL",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MARISAGENAIL",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Pemberton, M.D.
• Michael Pemelton, MD
• Naveen Pemmaraju, M.D.
• Ana M Pena de Rodriguez
• Esequiel Pena Perez, MD
• Joshua Pena-Ewers, PA
• Deanna I. Pena-Garcia, OD
• Alex Michael Pena, CHW
• Alfred Pena
• Amanda Michelle Pena, FNP

• Doula in Houston, TX
• Providers in Houston, TX by specialty
• Doula in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.