GINA MARIE HERNANDEZ (NPI# 1730399809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730399809 |
| Entity Type | Individual |
| Full Name | GINA MARIE HERNANDEZ |
| Credential | RAS |
| Practice Address |
2403 Professional Dr Suite 101 Santa Rosa CA 95403-3007 |
| Practice Telephone | 7075443295 |
| Practice Fax Number | 7075449011 |
| Mailing Telephone | 7075443295 |
| Mailing Fax Number | 7075449011 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447655741 | Gina Hernandez | Nurse Practitioner | 1 Sheridan Place, Suite 212, Hollywood, FL 33021 | 2014-10-29 |
| 1952944035 | Gina Isabel Hernandez | Occupational Therapist | 7112 Ed Bluestein Blvd Ste 100, Austin, TX 78723-2913 | 2019-10-22 |
| 1124563705 | Gina Bianca Hernandez | Behavioral Analyst | 6400 Boynton Beach Blvd, Boynton Beach, FL 33474-3601 | 2017-01-05 |
| 1740691757 | Gina Hernandez | Counselor | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2014-05-13 |
| 1730501826 | Gina Hernandez | Rehabilitation Practitioner | 6055 E Washington Blvd, Suite 900, Commerce, CA 90040-2449 | 2014-01-09 |
| 1457695439 | Gina Kay Hernandez | Case Manager/Care Coordinator | Rr 1 Box 131c, Eufaula, OK 74432-9223 | 2012-11-15 |
| 1760403943 | Gina Elizabeth Hernandez | Physician Assistant | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2006-07-22 |
| Street Address |
2403 PROFESSIONAL DR SUITE 101 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518024389 | Drug Abuse Alternatives Center | Community/Behavioral Health | 2403 Professional Dr, Suite 102, Santa Rosa, CA 95403-3007 | 2007-01-02 |
| 1033744636 | Athena Kostick | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2020-03-04 |
| 1861024499 | Christopher James Mazzo | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2020-02-11 |
| 1578107421 | Sheila Diane Phariss | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-11-04 |
| 1093368979 | Stephanie Pande | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-07-19 |
| 1063064715 | Drug Abuse Alternatives Center | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-07-12 |
| 1528625738 | Shane Michael Short | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-05-22 |
| 1063974657 | Jennifer Kathleen Haglund - Hill | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2019-04-02 |
| 1407326408 | Maria D Cardenas | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2018-12-03 |
| 1578071239 | David Lee Morse | Counselor | 2403 Professional Dr, Santa Rosa, CA 95403-3007 | 2018-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089803 | Joan Colombo | Counselor | 1450 Neotomas Ave, Santa Rosa, CA 95405-7537 | 2020-07-02 |
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
| 1780147538 | Aimee Noelle Krzywicki | Counselor | 2403 Professional Dr Ste 102, Santa Rosa, CA 95403-3007 | 2019-04-09 |
| 1811487903 | Michael Armand Maritzen | Counselor | 2245 Challenger Way # 100, Santa Rosa, CA 95407-5418 | 2018-05-14 |
| 1922520527 | Robert John Lotero | Counselor | 7104 Oak Leaf Dr, Santa Rosa, CA 95409-6028 | 2017-07-14 |
| 1184153728 | Amanda Christina Gomez-hernandez | Counselor | 2400 County Center Dr Ste B, Santa Rosa, CA 95403-3004 | 2017-06-07 |
| 1225577968 | Kari Kenyon | Counselor | 1380 Wright St Apt 8, Santa Rosa, CA 95404-3437 | 2017-02-14 |
| 1013368083 | Stanley Bragg Jr. | Counselor | 6119 Montecito Blvd Apt 12, Santa Rosa, CA 95409-2969 | 2016-06-30 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on GINA MARIE HERNANDEZ.
| 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.