ALISA VALERNA KAZYUCHITS (NPI# 1376061812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376061812 |
Entity Type | Individual |
Full Name | ALISA VALERNA KAZYUCHITS |
Practice Address |
404 Racquet Club Blvd Bedford TX 76022-6408 |
Mailing Address |
1701 Towne Crossing Blvd Apt 526 Mansfield TX 76063-8948 |
Practice Telephone | 6827383056 |
Mailing Telephone | 9038510625 |
Enumeration Date | 2017-09-05 |
Last Update Date | 2017-09-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
37293 | TX | Speech, Language and Hearing Service Providers |
Street Address |
404 RACQUET CLUB BLVD |
City | BEDFORD |
State | TX |
Zip Code | 76022-6408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992012660 | Small Hands, Big Hearts Pediatric Therapy Management, LLC | Home Health | 404 Racquet Club Blvd, Bedford, TX 76022-6408 | 2010-09-01 |
1669073276 | Sydney Elaine Baer | Specialist/Technologist | 404 Racquet Club Blvd, Bedford, TX 76022-6408 | 2020-11-02 |
1053911560 | Cara Bowles | Occupational Therapy Assistant | 404 Racquet Club Blvd, Bedford, TX 76022-6408 | 2020-10-26 |
1063030716 | Lisa Blecher | Speech-Language Pathologist | 404 Racquet Club Blvd, Bedford, TX 76022-6408 | 2020-07-09 |
1194364505 | Jin Lee | Physical Therapy Assistant | 404 Racquet Club Blvd, Bedford, TX 76022-6408 | 2020-01-02 |
1447893979 | Savanna Graceila Holst | Specialist/Technologist | 404 Racquet Club Blvd, Bedford, TX 76022-6408 | 2019-10-28 |
1144884057 | Patricia M Garcia | Occupational Therapist | 404 Racquet Club Blvd, Bedford, TX 76022-6408 | 2019-04-25 |
1316402795 | Gabriela M Garcia | Occupational Therapy Assistant | 404 Racquet Club Blvd, Bedford, TX 76022-6408 | 2019-02-09 |
1932664547 | Leilani Garcia | Specialist/Technologist | 404 Racquet Club Blvd, Bedford, TX 76022-6408 | 2019-02-07 |
1134613524 | Stacey Rasheed | Specialist/Technologist | 404 Racquet Club Blvd, Bedford, TX 76022-6408 | 2018-06-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376155754 | Jacquelyn H Holloway | Registered Nurse | 820 Uptown Blvd, Bedrord, TX 76022 | 2020-08-18 |
1861972556 | Red Diamond Medical Group Pllc | Internal Medicine | 2700 Tibbets Dr # 301, Bedford, TX 76022 | 2018-08-21 |
1649761958 | Florine Karimi Mati | Behavioral Analyst | 1413 Tennis Dr, Bedford, TX 76022 | 2018-05-22 |
1760836704 | Healing Hands Senior Care Service | Technician | 1152 High Point Rd., Bedford, TX 76022 | 2016-04-15 |
1972965283 | Emily Vandoren | Physical Therapist | 1705 Forest Ridge Drive, Bedford, TX 76022 | 2016-03-25 |
1396123949 | Decorla Holmes | Adult Companion | 1152 Highpoint Rd., Bedford, TX 76022 | 2015-05-15 |
1629409198 | Susan Yvonne Pelletier | Durable Medical Equipment & Medical Supplies | 1600 Central Drive, Suite 157, Bedford, TX 76022 | 2013-12-09 |
1649565953 | Alisa Thamwiwat | Internal Medicine | 1604 Hospital Pkwy Ste 301, Bedford, TX 76022 | 2011-06-15 |
1528227576 | Ft. Worth Home Care Inc | Home Health | 1600 Airport Freeway, Suite 503, Bedford, TX 76022 | 2008-06-05 |
1225242886 | Bedford Family Medicine, Pa | Family Medicine | 1701 Forest Ridge Dr., Bedford, TX 76022 | 2007-05-10 |
Find all providers in zip 76022 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982104733 | Lisa Perez | Specialist/Technologist | 2350 Airport Fwy Ste 150, Bedford, TX 76022-6050 | 2018-02-19 |
1356675623 | Andria Demarco | Specialist/Technologist | 7302 Avalon Dr, Bedford, MA 01730-2086 | 2009-09-19 |
1669073276 | Sydney Elaine Baer | Specialist/Technologist | 404 Racquet Club Blvd, Bedford, TX 76022-6408 | 2020-11-02 |
1205458643 | Taylor Heaton | Specialist/Technologist | 2350 Airport Fwy Ste 150, Bedford, TX 76022-6050 | 2020-05-07 |
1003444738 | Desoree James | Specialist/Technologist | 2350 Airport Fwy Ste 150, Bedford, TX 76022-6050 | 2020-03-30 |
1447893979 | Savanna Graceila Holst | Specialist/Technologist | 404 Racquet Club Blvd, Bedford, TX 76022-6408 | 2019-10-28 |
1881259034 | Banny Jasmine Jaen | Specialist/Technologist | 2350 Airport Fwy Ste 150, Bedford, TX 76022-6050 | 2019-05-02 |
1932664547 | Leilani Garcia | Specialist/Technologist | 404 Racquet Club Blvd, Bedford, TX 76022-6408 | 2019-02-07 |
1700356680 | Janine A Johnson | Specialist/Technologist | 2350 Airport Fwy Ste 150, Bedford, TX 76022-6050 | 2018-12-04 |
1154806677 | Yvette Carter | Specialist/Technologist | 2350 Airport Fwy Ste 455, Bedford, TX 76022-4011 | 2018-10-01 |
Find all providers in BEDFORD |
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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.