Angela Pena

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

209035 Issued in AK

Practice address

12812 Old Glenn Hwy Ste B2
Eagle River, AK 99577-7002

Phone

(907) 290-9595

NPI assigned

May 9, 2023

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

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": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1831889310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 E 74TH AVE # 13A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995072774",
            "telephone_number": "907-215-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12812 OLD GLENN HWY STE B2",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777002",
            "telephone_number": "907-290-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "209035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W. L. Patterson, PH.D.
• June Pau
• Mary Ann Paul, PT
• Peak Counseling
• Lauren Pelton, CCC-SLP
• James V Penfield
• Nina Lynn Perino, PA-C
• Allison Perotti
• Zach Perry
• Alyssa Peters, OTR/L

• Speech-Language Pathologist in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.