ANDREA NICOLE BARAJAS (NPI# 1467942045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467942045 |
Entity Type | Individual |
Full Name | ANDREA NICOLE BARAJAS |
Credential | PMHNP STUDENT |
Practice Address |
David Grant Medical Center Travis Afb CA 94535 |
Mailing Address |
3500 Harbison Dr Apt 534 Vacaville CA 95687-3917 |
Practice Telephone | 7074235174 |
Mailing Telephone | 6789258074 |
Enumeration Date | 2018-05-18 |
Last Update Date | 2018-05-18 |
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 |
---|---|---|---|---|
1699163865 | Andrea Barajas | Physical Therapy Assistant | 107 Lorenzo Dr, Pleasant Hill, CA 94523-3017 | 2014-12-22 |
1184238628 | Andrea Barajas | Physical Therapist | 210 Cleaver Farms Rd Ste 1, Middletown, DE 19709-1670 | 2020-09-02 |
1982173035 | Andrea Barajas | Behavior Technician | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2018-11-19 |
Street Address |
DAVID GRANT MEDICAL CENTER |
City | TRAVIS AFB |
State | CA |
Zip Code | 94535 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952831166 | Kara Heath Jesse | Physical Therapist | David Grant Medical Center, 101 Bodin Cir, Travis Afb, CA 94535 | 2017-06-20 |
1336683747 | David J Krasucki | Nurse Anesthetist, Certified Registered | David Grant Medical Center, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-12-05 |
1588961163 | Jason Hoskins | Radiology | David Grant Medical Center, 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2011-02-17 |
1467686543 | Mary Issitt | Military Health Care Provider | David Grant Medical Center, 101 Bodin Circle, Travis Afb, CA 94535-0001 | 2009-05-05 |
1427103399 | Adeleke Adonis Oyemade | Registered Nurse | David Grant Medical Center, 101 Bodin Cir, Travis Afb, CA 94535 | 2007-01-23 |
1619041316 | Suk Charles Whang | Internal Medicine | David Grant Medical Center, 101 Bodin Circle, Travis Afb, CA 94535-1800 | 2006-11-17 |
1699781153 | Bill Steh | Psychologist | David Grant Medical Center, 101 Bodin Circle, 4-east Unit, Travis Afb, CA 94535 | 2006-08-01 |
1295784627 | Judith A. Gould | Dietitian, Registered | David Grant Medical Center, Travis Afb, CA 94535-1800 | 2006-05-10 |
1063499267 | Graham Wilson Wallace | Family Medicine | David Grant Medical Center, 101 Bodin Circle, Travis Afb, CA 94535-1809 | 2005-12-29 |
1760465769 | Michael Louis Chyrek | Optometrist | David Grant Medical Center, 101 Bodin Cir, Travis Afb, CA 94535 | 2005-11-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
Find all providers in zip 94535 |
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 |
---|---|---|---|---|
1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
1144854159 | Nicholas Adams | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Ste 2, Travis Afb, CA 94535-1809 | 2020-02-28 |
1538768114 | Jordan Rose | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-10-23 |
1598381089 | Aaron J Surbaugh | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-06-19 |
1922622430 | William F Monat | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 | 2020-05-31 |
1063049799 | Tanner C Carlock | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 | 2020-03-24 |
1427681196 | Bradley Burkey | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-02-20 |
1821629288 | Gloria Calvillo | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-02-03 |
1366003105 | Rebecca Anne O'neill | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2019-06-24 |
1225696057 | Zari Cofield | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2019-06-05 |
Find all providers in TRAVIS AFB |
City | TRAVIS AFB |
Zip Code | 94535 |
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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.