BETHANY HERRERA (NPI# 1487107462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487107462 |
| Entity Type | Individual |
| Full Name | BETHANY HERRERA |
| Practice Address |
2302 Nevada Dr Alamogordo NM 88310-3701 |
| Practice Telephone | 5755512461 |
| Mailing Telephone | 5755512461 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
2302 NEVADA DR |
| City | ALAMOGORDO |
| State | NM |
| Zip Code | 88310-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
| 1952802787 | Kinfe H Alemnugus | Pharmacist | 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 | 2018-02-27 |
| 1134666902 | Hillary Elizabeth Hunter | Behavior Technician | 1908 Snow Dr, Alamogordo, NM 88310 | 2017-01-31 |
| 1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
| 1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
| 1851788798 | Timothy W. Basha | Counselor | 1613 Juniper Dr., Alamogordo, NM 88310 | 2015-04-17 |
| 1215331186 | Keith Edward Gerber | Case Manager/Care Coordinator | 1900 East Tenth Street, Alamogordo, NM 88310 | 2014-10-21 |
| 1710306691 | Austin Reed | Pharmacist | 2401 Indian Wells, Alamogordo, NM 88310 | 2014-04-08 |
| 1760821805 | Dollar Cab Company | Taxi | 1220 Brooks Ave., Alamogordo, NM 88310 | 2013-06-21 |
| 1932544319 | Peter Allan Lock | Physical Therapist | 1011 A 10th Street, Alamogordo, NM 88310 | 2013-04-30 |
| Find all providers in zip 88310 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851844831 | Vin Nicole Wise | Day Training/Habilitation Specialist | 904 Arroyo Seco, Alamogordo, NM 88310-7796 | 2016-07-26 |
| 1659729135 | Amber Blackmon | Day Training/Habilitation Specialist | 2002 Scenic Dr, B, Alamogordo, NM 88310-3854 | 2016-05-25 |
| 1649636929 | Leonel Corona | Day Training/Habilitation Specialist | 757 Candlewood Ct, Alamogordo, NM 88310-5341 | 2016-01-03 |
| 1013385756 | Sarah Marzan | Day Training/Habilitation Specialist | 2553 1st St, Apt A103, Alamogordo, NM 88310-4411 | 2015-09-11 |
| 1427439108 | Tiffany Shaw | Day Training/Habilitation Specialist | 1618 Indiana Ave, Alamogordo, NM 88310-6670 | 2015-06-17 |
| 1861862484 | Anna Shelton | Day Training/Habilitation Specialist | 1302 College Ave, Alamogordo, NM 88310-4960 | 2015-09-25 |
| 1932581139 | Sarah Kimmerle | Day Training/Habilitation Specialist | 3300 Airport Rd, B2, Alamogordo, NM 88310-8107 | 2015-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186076 | Ohica-hadiya Ali | Day Training/Habilitation Specialist | 12700 Constitution Ave Ne Apt 9, Albuquerque, NM 87112-6067 | 2020-08-25 |
| 1720690092 | Kenneth Justin Schwartz | Day Training/Habilitation Specialist | 2319 Margarita Dr Se, Rio Rancho, NM 87124-2699 | 2020-08-18 |
| 1003424995 | Laetitia Marie Lucero | Day Training/Habilitation Specialist | 17c Lomas De La Cruz, Espanola, NM 87532-9048 | 2020-07-16 |
| 1265050256 | Aiyanna Amanda Woods-clark | Day Training/Habilitation Specialist | 440 Erbbe St Ne, Albuquerque, NM 87123-1138 | 2020-07-07 |
| 1821615923 | Ashlee Laughlin | Day Training/Habilitation Specialist | 420 Idalia Rd Sw, Rio Rancho, NM 87124-0845 | 2020-07-06 |
| 1982248068 | Shannon M Campbell | Day Training/Habilitation Specialist | 1126 Lafayette Dr Ne, Albuquerque, NM 87106-1904 | 2019-11-01 |
| 1053960757 | Rachael Lauren Corchine | Day Training/Habilitation Specialist | 6401 Santa Monica Ave Ne Apt 2086, Albuquerque, NM 87109-4166 | 2019-09-05 |
| 1457909095 | Naketta Jean Wiley | Day Training/Habilitation Specialist | 7709 Amy Marie Ct Nw, Albuquerque, NM 87120-6543 | 2019-08-27 |
| 1194371948 | Lorena Luevano | Day Training/Habilitation Specialist | 10600 Andalusian Ave Sw, Albuquerque, NM 87121-8949 | 2019-08-16 |
| 1609420223 | Ru'a Maadi | Day Training/Habilitation Specialist | 1200 Avenida Cesar Chavez Se Apt 423, Albuquerque, NM 87106-3902 | 2019-07-31 |
| Find all providers with the same taxonomy | ||||
| City | ALAMOGORDO |
| Zip Code | 88310 |
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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.