MRS. LE' ZETTE J TRAUDT (NPI# 1043643315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043643315 |
| Entity Type | Individual |
| Full Name | MRS. LE' ZETTE J TRAUDT |
| Credential | CMP |
| Practice Address |
1648 E Herndon Ave Ste 106 Fresno CA 93720-3381 |
| Practice Telephone | 5594327222 |
| Practice Fax Number | 5594327541 |
| Mailing Telephone | 5594327222 |
| Mailing Fax Number | 5594327541 |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 39486 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | UNITED HEALTHCARE | 03141979 | 01 |
| Street Address |
1648 E HERNDON AVE STE 106 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-3381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982037263 | Trish L Pruitt | Massage Therapist | 1648 E Herndon Ave Ste 106, Fresno, CA 93720-3381 | 2013-08-09 |
| 1821604620 | Ayde Adame Mendibles | Licensed Vocational Nurse | 1648 E Herndon Ave Ste 106, Fresno, CA 93720-3381 | 2020-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376186072 | Yegue O Badigue | Massage Therapist | 2817 E Spruce Ave Apt 136, Fresno, CA 93720-0373 | 2019-10-25 |
| 1194216093 | Annalisa Olivas | Massage Therapist | 1525 E Greenwich Ave, Fresno, CA 93720 | 2018-05-25 |
| 1568867117 | Michael Greene | Massage Therapist | 336 W Bedford Ave, Suite 108, Fresno, CA 93711-6185 | 2014-10-24 |
| 1205238292 | Daniel J Williams | Massage Therapist | 7676 N Fresno St. Sp. 6, Fresno, CA 93720 | 2014-09-22 |
| 1982037263 | Trish L Pruitt | Massage Therapist | 1648 E Herndon Ave Ste 106, Fresno, CA 93720-3381 | 2013-08-09 |
| 1205193992 | Cathy Abbott | Massage Therapist | 4733 W Spruce Ave Ste 106, Fresno, CA 93722-3576 | 2012-04-18 |
| 1619266871 | Pakou Vue | Massage Therapist | 3750 N 1st St, Fresno, CA 93726-5601 | 2011-03-28 |
| 1013231158 | Victor Martinez-breners | Massage Therapist | 401 W Fallbrook Ave, Ste 105, Fresno, CA 93711-5833 | 2010-03-18 |
| 1740419654 | Lisa Andrea Anderson | Massage Therapist | 1901 Fulton St., #110, Fresno, CA 93721 | 2009-07-13 |
| 1619111077 | Rebecca P Calleja | Massage Therapist | 7948 N Maple Ave Ste 110, Fresno, CA 93720-0288 | 2009-04-28 |
| Find all providers in FRESNO | ||||
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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.