Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vanessa Ileana Pena, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1477964625

Vanessa Ileana Pena, CCC-SLP is a Qualified Speech Language Pathologist in Jacksonville, Florida. Qualified in 2013, 13 years ago. Practices with All Care Physical Therapy, PC, a 159-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2014
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

5600 Spring Park Rd Ste 102
Jacksonville, FL 32216-5989
Phone: (305) 301-4870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA13217 (FL)

Record details

NPI number1477964625
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedMay 9, 2014
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice All Care Physical Therapy, Pc — 159 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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