HANNAH MARIE BOUTWELL (NPI# 1093344780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093344780 |
Entity Type | Individual |
Full Name | HANNAH MARIE BOUTWELL |
Practice Address |
19591 Brisbane Dr Riverside CA 92508-6068 |
Practice Telephone | 9515656590 |
Mailing Telephone | 9515656590 |
Enumeration Date | 2020-04-03 |
Last Update Date | 2020-04-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
19591 BRISBANE DR |
City | RIVERSIDE |
State | CA |
Zip Code | 92508-6068 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699257121 | Careconnexus, LLC | Non-emergency Medical Transport (VAN) | 9338 Millionaire Lane, Riverside, CA 92508 | 2018-08-31 |
1003265117 | Travis William Cruz | Physician Assistant | 9525 Los Amigos Court, Riverside, CA 92508 | 2016-06-09 |
1043610769 | Mountain Vista Medical Center | General Acute Care Hospital | 8168 Palm View Ln, Riverside, CA 92508 | 2014-08-29 |
1952642399 | John Lawrence Bowers | Marriage & Family Therapist | 19900 Grove Community Drive, Riverside, CA 92508 | 2013-03-11 |
1952605248 | Dennis Graves | Counselor | 17270 Roosevelt Ave, Riverside, CA 92508 | 2011-01-01 |
1811207632 | Bekele T Haimanot | Physician Assistant | 9528 Los Coches Court, Riverside, CA 92508 | 2010-10-14 |
1518144625 | Irene T. Zaki | Dentist | 20873 Grove Community Dr., Riverside, CA 92508 | 2008-01-31 |
1093902447 | Edward Keith Forward | Specialist | 18167 Kross Rd, Riverside, CA 92508 | 2007-10-01 |
1255523593 | Sopheap Tang | Dentist | 18876 Van Buren Blvd, Ste 107, Riverside, CA 92508 | 2007-08-10 |
1942336995 | Ching-roo Chi | Dentist | 473 E. Allessandro Blvd., Suite A, Riverside, CA 92508 | 2007-02-26 |
Find all providers in zip 92508 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447870365 | Monica Sameh Hanna | Student in an Organized Health Care Education/Training Program | University of California Riverside School of Medicine, 14350 Meridian Pkwy # 2, Riverside, CA 92518-3035 | 2020-04-21 |
1861011876 | Monika Ellyn Garcia | Student in an Organized Health Care Education/Training Program | 14350 Meridian Parkway Box #2, Riverside, CA 92518 | 2020-04-09 |
1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
1114553765 | Pamela Picchi | Student in an Organized Health Care Education/Training Program | 111 Prescott Ave, Riverside, RI 02915-1944 | 2020-03-16 |
1538794094 | Jason Washington | Student in an Organized Health Care Education/Training Program | 4301 La Sierra Ave Apt 50, Riverside, CA 92505-2906 | 2020-03-05 |
1144860404 | Brian Jisu Shin | Student in an Organized Health Care Education/Training Program | 8293 Perla Dr, Riverside, CA 92504-2419 | 2020-01-14 |
1609415116 | Broderich Alexander Durley | Student in an Organized Health Care Education/Training Program | 14235 Oakley Dr, Riverside, CA 92503-7236 | 2019-12-31 |
1861031353 | Alex Tovar | Student in an Organized Health Care Education/Training Program | 16901 Clementine Ct, Riverside, CA 92503-6935 | 2019-12-31 |
1477192979 | Gregory David White | Student in an Organized Health Care Education/Training Program | 7965 Los Arboles Pl, Riverside, CA 92504-3530 | 2019-12-31 |
1407497076 | Guadalupe Rocha | Student in an Organized Health Care Education/Training Program | 10135 Hillsborough Ln, Riverside, CA 92503-1018 | 2019-10-03 |
Find all providers in RIVERSIDE |
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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.