MRS. JOANNA PENA (NPI# 1649748393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649748393 |
| Entity Type | Individual |
| Full Name | MRS. JOANNA PENA |
| Credential | APRN |
| Practice Address |
902 Clint Moore Rd Ste 227 Boca Raton FL 33487-2800 |
| Practice Telephone | 5612416676 |
| Mailing Telephone | 5612416676 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2020-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN9337542 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639467970 | Joanna M Pena | Counselor | 1218 Griegos Rd Nw, Albuquerque, NM 87107-3752 | 2011-07-20 |
| Street Address |
902 CLINT MOORE RD STE 227 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33487-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215978713 | On Site Dermatology LLC | Dermatology | 902 Clint Moore Rd Ste 227, Boca Raton, FL 33487-2800 | 2006-06-08 |
| 1467063651 | Paula Joanne Charbonnet | Dermatology | 902 Clint Moore Rd Ste 227, Boca Raton, FL 33487-2800 | 2020-08-12 |
| 1598398000 | Alison Wing | Dermatology | 902 Clint Moore Rd Ste 227, Boca Raton, FL 33487-2800 | 2020-02-13 |
| 1568025724 | Kimberly Trinh | Physician Assistant | 902 Clint Moore Rd Ste 227, Boca Raton, FL 33487-2800 | 2019-04-15 |
| 1750878930 | Erica Derkits | Nurse Practitioner | 902 Clint Moore Rd Ste 227, Boca Raton, FL 33487-2800 | 2018-04-13 |
| 1205231040 | Diana M Correll | Physician Assistant | 902 Clint Moore Rd Ste 227, Boca Raton, FL 33487-2800 | 2014-10-22 |
| 1306154794 | On Site Dermatology Associates LLC | Dermatology | 902 Clint Moore Rd Ste 227, Boca Raton, FL 33487-2800 | 2010-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261741 | Kendall Hackenberg | Nurse Practitioner | 810 Nw 82nd Pl, Boca Raton, FL 33487 | 2020-07-01 |
| 1275187015 | Trusted Home Care Agency | Home Health | 1200 S. Rogers Circle, Suite #4, Boca Raton, FL 33487 | 2019-07-30 |
| 1972064475 | West Palm Beac Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 902 Clint Moore Road, Ste 144, Boca Raton, FL 33487 | 2019-03-27 |
| 1386153807 | Michael Christopher Angelillo | Internal Medicine | 1601 Clint Moore Rd Ste 115, Boca Raton, FL 33487 | 2017-09-27 |
| 1942729645 | Ronald Falk | Chiropractor | 6201 N Federal Hwy #5-6, Boca Raton, FL 33487 | 2017-09-13 |
| 1205292653 | Abigail Goodwin Sladek | Nurse Practitioner | 902 Clint Moore Rd # 227, Boca Raton, FL 33487 | 2016-01-14 |
| 1538539879 | Nancy Gonzalez | Dental Hygienist | 904 Clint Moore Rd, Boca Raton, FL 33487 | 2015-09-29 |
| 1083090138 | John Hooper Griscom | Internal Medicine | 3752 Mykonos Court, Boca Raton, FL 33487 | 2015-07-30 |
| 1144600321 | Hear Again LLC | Audiologist-Hearing Aid Fitter | 851 Broken Sound Pkwy Nw Ste 120, Boca Raton, FL 33487 | 2015-06-03 |
| 1457759193 | Element Lab Partners, LLC | Clinical Medical Laboratory | 1101 Holland Dr., Ste. 30, Boca Raton, FL 33487 | 2014-12-11 |
| Find all providers in zip 33487 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619584927 | Hadley Stephens | Nurse Practitioner | 6070 Glendale Dr, Boca Raton, FL 33433-3843 | 2020-09-30 |
| 1710594221 | Michael Lawrence Kieffer | Nurse Practitioner | 20064 Ocean Key Dr, Boca Raton, FL 33498-4526 | 2020-09-29 |
| 1457967614 | Gabrielle Scott | Nurse Practitioner | 844 Broken Sound Pkwy Nw Apt 203, Boca Raton, FL 33487-3662 | 2020-09-22 |
| 1578177515 | East Boca Family Care | Nurse Practitioner | 4899 Nw 4th Ave, Boca Raton, FL 33431-4724 | 2020-09-08 |
| 1447862685 | Nadine Nalerio-choudhry | Nurse Practitioner | 3270 Saint James Dr, Boca Raton, FL 33434-3373 | 2020-08-19 |
| 1477163889 | Anna Marie Hoo | Nurse Practitioner | 9960 Central Park Blvd N Ste 350, Boca Raton, FL 33428-1753 | 2020-08-01 |
| 1518575000 | Rebecca Christine Long | Nurse Practitioner | 3377 Nw 26th Ave, Boca Raton, FL 33434-3419 | 2020-07-21 |
| 1881212009 | Benjamin Neuman | Nurse Practitioner | 22038 Las Brisas Cir, Boca Raton, FL 33433-4809 | 2020-07-14 |
| 1528684602 | Jennifer Leigh Piraino | Nurse Practitioner | 6 Royal Palm Way Unit 211, Boca Raton, FL 33432-8728 | 2020-06-24 |
| 1932736287 | Erika Shea Anderson | Nurse Practitioner | 677 W Royal Palm Rd, Boca Raton, FL 33486-4664 | 2020-03-26 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33487 |
Please comment or provide details below to improve the information on MRS. JOANNA 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.