SHAWN HERNANDEZ (NPI# 1184148389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184148389 |
| Entity Type | Individual |
| Full Name | SHAWN HERNANDEZ |
| Credential | LMT |
| Practice Address |
11388 W Mountain View Dr Avondale AZ 85323-1126 |
| Practice Telephone | (928) 254-9885 |
| Mailing Telephone | 9282549885 |
| Enumeration Date | 2017-07-29 |
| Last Update Date | 2017-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT-20624 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11388 W MOUNTAIN VIEW DR |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| 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 |
|---|---|---|---|---|
| 1912274390 | Melanie A Cline | Massage Therapist | 8997 Mountaineer Rd., Avondale, WV 24811-0143 | 2011-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982351 | Kathryn Louise Lauritzen | Massage Therapist | 286 W Palomino Dr Unit 177, Chandler, AZ 85225-3492 | 2020-11-02 |
| 1215537832 | Jonathan Taylor | Massage Therapist | 230 N Shannon Rd Apt 6, Tucson, AZ 85745-1768 | 2020-11-01 |
| 1124628920 | Angelina Hull | Massage Therapist | 4318 W Kimberly Way, Glendale, AZ 85308-4411 | 2020-10-29 |
| 1073113221 | Erin Clark | Massage Therapist | 9014 W Cambridge Ave, Phoenix, AZ 85037-3430 | 2020-10-27 |
| 1205435823 | Angelica Mitchum | Massage Therapist | 15815 S Lakewood Pkwy W, 2051, Phoenix, AZ 85048-5850 | 2020-10-23 |
| 1396344099 | William Cook | Massage Therapist | 6750 E Speedway Blvd, Tucson, AZ 85710-1220 | 2020-10-22 |
| 1013516020 | Josey K Morrison | Massage Therapist | 1485 East 3200 South, Cane Beds, AZ 86022 | 2020-10-21 |
| 1114526035 | Heather Oneill | Massage Therapist | 13700 N Fountain Hills Blvd Apt 123, Fountain Hills, AZ 85268-3753 | 2020-10-21 |
| 1689272734 | Tricia J Milonas | Massage Therapist | 15027 W Bell Rd Ste 100, Surprise, AZ 85374-3256 | 2020-10-12 |
| 1598362618 | Zeke Michael Mcnelly | Massage Therapist | 1417 E Colter St Apt 15, Phoenix, AZ 85014-3052 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.