MISS KYMRY HUDSON (NPI# 1639614753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639614753 |
| Entity Type | Individual |
| Full Name | MISS KYMRY HUDSON |
| Practice Address |
320 W Oak Ave Visalia CA 93291-4929 |
| Mailing Address |
653 E Tulare Ave Apt A Visalia CA 93292-3650 |
| Practice Telephone | 5596253420 |
| Mailing Telephone | 5593080760 |
| Mailing Fax Number | 5596253808 |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
320 W OAK AVE |
| City | VISALIA |
| State | CA |
| Zip Code | 93291-4929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043346067 | Central Valley Recovery Services, Inc.. | Substance Abuse Rehabilitation Facility | 320 W Oak Ave, Visalia, CA 93291-4929 | 2007-02-26 |
| 1396385332 | Brandy Louise Ewing | Counselor | 320 W Oak Ave, Visalia, CA 93291-4929 | 2020-01-07 |
| 1467985572 | Chad Homan | Counselor | 320 W Oak Ave, Visalia, CA 93291-4929 | 2017-04-05 |
| 1295270510 | Dorothy Santana | Counselor | 320 W Oak Ave, Visalia, CA 93291-4929 | 2016-12-21 |
| 1710114061 | Stella Botello | Social Worker | 320 W Oak Ave, Visalia, CA 93291-4929 | 2009-06-14 |
| 1821278078 | Brenda L Blum | Counselor | 320 W Oak Ave, Visalia, CA 93291-4929 | 2007-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
| 1689223067 | Patricia Mari Marquez | Technician | 32481 Road 127, Visalia, CA 93291 | 2019-09-09 |
| 1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
| 1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
| 1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
| 1629598545 | Estherose Molina | Assistant Behavior Analyst | 5445 W. Sweet Drive, Visalia, CA 93291 | 2017-06-21 |
| 1487195988 | Brenda Rodriguez | Case Manager/Care Coordinator | 546 East Tulare Ave, Visalia, CA 93291 | 2017-03-16 |
| 1295181857 | David James Tsuneji Fujihara | Emergency Medicine | 400 W. Mineral King Ave, Visalia, CA 93291 | 2016-05-12 |
| 1326409343 | Bay Area Surgical Specialists, Inc A Medical Corporation | Pain Medicine | 5127 W Noble Ave, Visalia, CA 93291 | 2016-03-18 |
| 1932585700 | Charles Dominick Trentacosti | Occupational Therapy Assistant | 514 N Bridge St, Visalia, CA 93291 | 2015-08-04 |
| Find all providers in zip 93291 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285170860 | Linda Reynolds | Peer Specialist | 320 W Oak Ave Ste B, Visalia, CA 93291-4929 | 2017-01-06 |
| 1528558624 | Mark Oliver Stack Jr. | Peer Specialist | 520 E Tulare Ave, Visalia, CA 93292-3629 | 2018-05-14 |
| 1013429703 | Ramona Gutierrez | Peer Specialist | 520 E Tulare Ave, Visalia, CA 93292 | 2017-11-02 |
| 1033664404 | Patricia Ornelas I | Peer Specialist | 520 E Tulare Ave, 520east Tulare Ave, Visalia, CA 93292-3629 | 2016-08-16 |
| 1093269920 | John Hyde | Peer Specialist | 520 E Tulare Ave, Visalia, CA 93292-3629 | 2016-08-09 |
| 1629420799 | Eve Hill | Peer Specialist | 546 E Tulare Ave, Visalia, CA 93292-3629 | 2016-07-12 |
| 1275985665 | Dayani Skarlet Barcenas-astorga | Peer Specialist | 520 E Tulare Ave, Visalia, CA 93292-3629 | 2016-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
| 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.