JENNIFER M PENA (NPI# 1558472860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558472860 |
| Entity Type | Individual |
| Full Name | JENNIFER M PENA |
| Other Name | JENNIFER R MYERS |
| Credential | ANP, GNP |
| Practice Address |
800 E 28th St Suite H2100 Minneapolis MN 55407-3723 |
| Mailing Address |
Po Box 43 Mr 10809 Minneapolis MN 55440-0043 |
| Practice Telephone | 6128633900 |
| Practice Fax Number | 6128631681 |
| Mailing Telephone | 6122624813 |
| Mailing Fax Number | 6122624194 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R1542350 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R1542350 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962759878 | Jennifer Lynn Pena | Nurse Practitioner | 9220 W Sunset Blvd, Suite 110, Los Angeles, CA 90069-3501 | 2012-08-09 |
| 1871851840 | Jennifer Nico Pena | Social Worker | 232 E Broadway, New York, NY 10002-5601 | 2012-04-27 |
| 1093341919 | Jennifer Marie Pena | Physician Assistant | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2020-03-23 |
| 1548800311 | Jennifer Renee Pena | Registered Nurse | 4444 Corona Dr Ste 107, Corpus Christi, TX 78411-4374 | 2020-01-09 |
| 1215424478 | Jennifer Pena | Counselor | 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 | 2018-04-13 |
| 1871990234 | Jennifer Pena | Social Worker | 908 Sierra Dr, Modesto, CA 95351-3254 | 2014-12-01 |
| 1003211590 | Jennifer Pena | Case Manager/Care Coordinator | 37 John St, Amityville, NY 11701-2930 | 2014-10-27 |
| 1114274230 | Jennifer E Pena | Physical Therapist | 1425 Viscaya Pkwy, Suite 205, Cape Coral, FL 33990-3294 | 2012-08-08 |
| 1639332554 | Jennifer M Pena | Internal Medicine | 6355 Walker Ln Ste 500, Alexandria, VA 22310-3251 | 2008-07-10 |
| 1386795045 | Jennifer K. Pena | Speech-Language Pathologist | 1025 N Country Club Dr, Mesa, AZ 85201-3307 | 2007-01-16 |
| Street Address |
800 E 28TH ST SUITE H2100 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053314765 | Judy Garza | Specialist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2005-05-27 |
| 1568069060 | Brooke Evensen | Occupational Therapist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-07 |
| 1558968172 | Taiya Brown | Dietitian, Registered | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-06 |
| 1003413188 | Brandy Kozitza | Physical Medicine & Rehabilitation | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-02 |
| 1215554522 | Andrea Edwards | Genetic Counselor, MS | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-07-02 |
| 1740804350 | Danielle Krimmer | Registered Nurse | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-05-31 |
| 1225650005 | Kimberly Homan | Speech-Language Pathologist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-05-14 |
| 1568084630 | J&j Services, Inc | Durable Medical Equipment & Medical Supplies | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-05-12 |
| 1760011837 | Kayla Calhoun | Physical Therapist | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-04-02 |
| 1831727874 | Steven Thomas Schull | Student in an Organized Health Care Education/Training Program | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942762828 | Jodi Lynn Martin | Nurse Practitioner | 720 Washington Ave Se Ste 300, Minneapolis, MN 55414-2904 | 2019-04-01 |
| 1437506417 | Zahra Roble | Nurse Practitioner | 1801 Nicolllet Ave S, Minneapolis, MN 55403 | 2016-05-19 |
| 1891170593 | Lindsey Smith | Nurse Practitioner | 421 18th Ave N, Minneapolis, MN 55411-3314 | 2015-07-23 |
| 1689068421 | Bridget Flynn | Nurse Practitioner | 6100 11th Ave S, Minneapolis, MN 55417-3208 | 2015-03-18 |
| 1386931178 | Abimbola Adenike Matti | Nurse Practitioner | 732 E Lake St, Pain Relief Center of Minnesota, Minneapolis, MN 55407-1547 | 2011-06-30 |
| 1235421660 | Meghann Rae Cody | Nurse Practitioner | 500 Harvard St Se Unit 7d, Minneapolis, MN 55455-0363 | 2011-05-04 |
| 1710218151 | Sheila Kathleen Smith | Nurse Practitioner | 814 S 3rd St, Minneapolis, MN 55415 | 2010-01-25 |
| 1295926129 | Michelle A Aldrich Rn Cnp Pa | Nurse Practitioner | 4215 31st Ave S, Minneapolis, MN 55406-3311 | 2007-08-06 |
| 1881783801 | Denise Rae Erickson | Nurse Practitioner | One Verans Dr., Minneapolis, MN 55417 | 2006-10-11 |
| 1316972011 | Jean H Lewis | Nurse Practitioner | 1 Veterans Dr Ive 112d, Minneapolis, MN 55417-2309 | 2006-07-11 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on JENNIFER M PENA.
| 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.