Organization Active NPI

Penya Bilingual Speech & Language Therapy Inc.

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1982110201
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA13217 Issued in FL
Legal business name
PENYA BILINGUAL SPEECH & LANGUAGE THERAPY INC.
Practice address
5600 Spring Park Rd Ste 102
Jacksonville, FL 32216-5989
Phone
(305) 301-4870
NPI assigned
Dec 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Ms. Vanessa Ileana Pena, CCC-SLPNPI 1477964625
Title
Owner, Speech-Language Pathologist
Phone
(305) 301-4870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X SA13217 FL Primary

Addresses

Primary practice location

5600 Spring Park Rd Ste 102
Jacksonville, FL 32216-5989

Mailing address

5600 Spring Park Rd Ste 102
Jacksonville, FL 32216-5989
Phone (904) 694-2800

National Provider Directory

National Provider Directory

Locations

5600 Spring Park Rd
Ste 200A
Jacksonville, FL 32216

5600 Spring Park Rd
Ste 102
Jacksonville, FL 32216
Phone (305) 301-4870

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1982110201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 SPRING PARK RD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165989",
            "telephone_number": "904-694-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 SPRING PARK RD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165989",
            "telephone_number": "305-301-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENYA BILINGUAL SPEECH & LANGUAGE THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "ILEANA",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "305-301-4870",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.