WANDA I PEREZ (NPI# 1417376419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417376419 |
| Entity Type | Individual |
| Full Name | WANDA I PEREZ |
| Credential | CLINICIAN |
| Practice Address |
367 Pine Street Springfield MA 01105 |
| Practice Telephone | 4137371426 |
| Practice Fax Number | 4137399988 |
| Mailing Telephone | 4137371426 |
| Mailing Fax Number | 4137399988 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356477434 | Wanda I Perez | Pharmacy Technician | Royal Town I-4 Calle 22, Bayamon, PR 00956-4549 | 2007-02-26 |
| 1356964951 | Wanda Perez | Counselor | 404 Independence Blvd, Sicklerville, NJ 08081-1094 | 2020-05-19 |
| 1144661869 | Wanda Noemi Perez | Counselor | 1825 Nw 167th St, Suite 102, Miami Gardens, FL 33056-4838 | 2013-07-10 |
| 1043547714 | Wanda Jean Perez | Nurse Anesthetist, Certified Registered | 252 S 4th St, Lebanon, PA 17042-6111 | 2009-11-17 |
| Street Address |
367 PINE STREET |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255818852 | Whitney Robinson | Social Worker | 367 Pine Street, Springfield, MA 01105 | 2018-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881166551 | Rachael Ellen Buckley | Behavioral Analyst | 1 Federal Street, Stccac Technical Park, Building 101, 1 East-3, Springfield, MA 01105 | 2018-12-19 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| 1508351107 | Breanna Wardwell | Psychologist | 110 Maple St Ste 110, Springfield, MA 01105 | 2018-06-26 |
| 1538689831 | Ruthie May Therrien | Counselor | 140 High St #230, Springfield, MA 01105 | 2017-06-27 |
| 1124483771 | Jane Danette Smith | Counselor | 15 Mulberry Street, Phoenix House, Springfield, MA 01105 | 2015-12-28 |
| 1043682008 | Nancy Hernandez | Social Worker | 140 High Street Suite 230, South Bay Mental Health Springfield Clinic, Springfield, MA 01105 | 2015-10-29 |
| 1205204567 | Yarelis Aquino | Social Worker | 511 Eastt Columbus Ave, Springfield, MA 01105 | 2015-09-03 |
| 1275968778 | Elizabeth Catherine Grey | Social Worker | 155 Maple St Ste 304, Springfield, MA 01105 | 2013-09-04 |
| 1891033148 | Carol Ouellette | Counselor | 511 East Columbus Avenue, Springfield, MA 01105 | 2013-01-22 |
| 1699023630 | Julie May Borowski | Counselor | 287 State St., Springfield, MA 01105 | 2012-08-23 |
| Find all providers in zip 01105 | ||||
| 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 |
|---|---|---|---|---|
| 1538773361 | Aarika Danielle Gardner | Student in an Organized Health Care Education/Training Program | 560 W Bryant Apt D207, Springfield, MO 65810-8329 | 2020-08-31 |
| 1134743073 | Jared Saylor | Student in an Organized Health Care Education/Training Program | 901 S National Ave, Prof 160, Springfield, MO 65897 | 2020-06-06 |
| 1659995694 | Erin Bowler | Student in an Organized Health Care Education/Training Program | 51 Ingersoll Grv, Springfield, MA 01109-4010 | 2020-06-05 |
| 1063035483 | Mary Anne Iellamo | Student in an Organized Health Care Education/Training Program | 3400 Main St Fl 2, Springfield, MA 01199-1003 | 2020-05-20 |
| 1760005359 | Hannah Elizabeth Schumann | Student in an Organized Health Care Education/Training Program | 1621 E Lark St, Springfield, MO 65804-4351 | 2020-05-18 |
| 1962024109 | Brittany Nicole Campbell | Student in an Organized Health Care Education/Training Program | 2266 Boysenberry Ln Apt 4, Springfield, IL 62711-5414 | 2020-05-11 |
| 1518587286 | Emily Lyn Street | Student in an Organized Health Care Education/Training Program | 38 Country Pl, Springfield, IL 62703-5310 | 2020-04-22 |
| 1730709411 | Mary Kathleen Simon | Student in an Organized Health Care Education/Training Program | 1820 S Wiggins Ave, Springfield, IL 62704-3335 | 2020-04-22 |
| 1225658131 | Sarah Colby Mchugh | Student in an Organized Health Care Education/Training Program | 759 Chestnut St # S5427, Springfield, MA 01199-0001 | 2020-04-21 |
| 1346879889 | Ashly Seby | Student in an Organized Health Care Education/Training Program | 86 Redwood Rd Fl 3, Springfield, NJ 07081-2426 | 2020-04-06 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01105 |
Please comment or provide details below to improve the information on WANDA I PEREZ.
| 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.