MRS. ANDREA CAROL PENA (NPI# 1033546932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033546932 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA CAROL PENA |
| Credential | R.T. (R) |
| Practice Address |
12033 Agency Rd Parker AZ 85344-7718 |
| Practice Telephone | 9286693380 |
| Practice Fax Number | 9286693377 |
| Mailing Telephone | 9286693380 |
| Mailing Fax Number | 9286693377 |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 13424 | AZ | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538716311 | Andrea Maria Pena | Nurse Practitioner | 1150 Nw 14th St, Miami, FL 33136-2137 | 2019-08-26 |
| 1912095837 | Andrea Flores Pena | Counselor | 4415 W Piedras Dr, Suite 208, San Antonio, TX 78228-1216 | 2006-10-10 |
| Street Address |
12033 AGENCY RD |
| City | PARKER |
| State | AZ |
| Zip Code | 85344-7718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376510495 | Alice D. Calhoun | Pediatrics | 12033 Agency Rd, Parker, AZ 85344-7718 | 2006-03-07 |
| 1255941787 | Kimberly Christine Chavez | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2020-08-10 |
| 1518575539 | Heidi Anne Eikom | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2020-07-15 |
| 1093363020 | Folaremi Adeyemo | Pharmacist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-09-03 |
| 1265087837 | Lisa Tung | Pharmacist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-08-09 |
| 1588219323 | Donna Triplett | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-08-08 |
| 1992365621 | Nichole L Hord | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-06-14 |
| 1942868187 | Lisa Michelle Croley | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-06-03 |
| 1942764253 | Astrid Peck | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-01-31 |
| 1811451198 | Veo Prakai Daly | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
| 1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
| 1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
| 1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
| 1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
| 1942581699 | Rocky Mountain Holdings LLC | Ambulance | 913 S Ocotillo Ave, Parker, AZ 85344 | 2011-09-07 |
| 1467732271 | Adam Caton | Podiatrist | 1713 S Kofa Ave Ste K, Parker, AZ 85344 | 2011-08-24 |
| 1902137516 | Shana Lee Tackett | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd, Parker Indian Health Center, Parker, AZ 85344 | 2010-01-21 |
| 1649501339 | Alice Rodriguez | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd., Parker, AZ 85344 | 2010-01-20 |
| 1821328931 | Armando Sosa Jr. | Student in an Organized Health Care Education/Training Program | 12330 Agency Road, Parker, AZ 85344 | 2010-01-12 |
| Find all providers in zip 85344 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740654904 | Rebecca Louise Long | Radiologic Technologist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2015-11-25 |
| 1134544364 | William Samson | Radiologic Technologist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2014-02-25 |
| 1235436015 | Brian Kermit Twedt | Radiologic Technologist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2011-02-14 |
| 1790012359 | Frank Zamora | Radiologic Technologist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2009-11-03 |
| 1538399902 | Debra P Wright | Radiologic Technologist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2009-07-20 |
| 1912174277 | Howard Paul Greenawalt | Radiologic Technologist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2008-05-14 |
| 1265647697 | Diane Lynn Christensen | Radiologic Technologist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2007-05-11 |
| 1730231820 | Debra Mackey | Radiologic Technologist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2007-01-17 |
| 1073664082 | Nancy Cranston | Radiologic Technologist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2007-01-16 |
| 1295886711 | James Stewart | Radiologic Technologist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2007-01-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.