MARILYN HERNANDEZ (NPI# 1790113025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790113025 |
| Entity Type | Individual |
| Full Name | MARILYN HERNANDEZ |
| Practice Address |
1000 Eddy St Providence RI 02905-4739 |
| Practice Telephone | 4015339100 |
| Mailing Telephone | 4015339100 |
| Mailing Fax Number | 4015339105 |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2016-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CROSS | SB870 | 01 |
| RI | NEIGHBOORHOOD HEALTH | 0614 | 01 |
| RI | ES01788 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730669771 | Marilyn C Hernandez | Nurse Practitioner | 5700 Fieldcrest Dr, White Marsh, MD 21162-1143 | 2018-08-20 |
| 1366081374 | Marilyn Hernandez | Behavior Technician | 1450 N Tustin Ave, Santa Ana, CA 92705-8640 | 2019-12-23 |
| 1336798636 | Marilyn Hernandez | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2019-09-09 |
| 1376079020 | Marilyn Hernandez | Optometrist | 6930 Atlantic Ave, Bell, CA 90201 | 2017-05-02 |
| 1568792612 | Marilyn Hernandez | Technician, Health Information | Chardon Ave Angel Ramos Foundation 2, Aps Healthcare Pr, San Juan, PR 00918 | 2010-01-12 |
| Street Address |
1000 EDDY ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-4739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215967591 | Kelly C Mayer | Occupational Therapist | 1000 Eddy St, Providence, RI 02905-4739 | 2006-07-03 |
| 1093349672 | Amanda Sullivan | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2020-02-24 |
| 1093352213 | Atrik M Pineda | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2019-12-06 |
| 1396380853 | Jennifer Wright | Occupational Therapist | 1000 Eddy St, Providence, RI 02905-4739 | 2019-11-08 |
| 1730723529 | Alyssa Sands | Speech-Language Pathologist | 1000 Eddy St, Providence, RI 02905-4739 | 2019-11-05 |
| 1760024210 | Ellen Sauco | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2019-10-16 |
| 1093357725 | Neftali Aponte | Interpreter | 1000 Eddy St, Providence, RI 02905-4739 | 2019-10-15 |
| 1578105169 | Wendy Oliveira | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2019-10-15 |
| 1013566678 | Arianna Denise Miche | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2019-09-06 |
| 1447809397 | Bianca Archila | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2019-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073091153 | Aileen James Archambault | Case Manager/Care Coordinator | 220 Howell St, Providence, RI 02906-1614 | 2018-08-01 |
| 1619171717 | John Joseph O'brien Jr. | Case Manager/Care Coordinator | 3 Capitol Hl Ste 206, Providence, RI 02908-5034 | 2007-06-13 |
| 1811020431 | Ri Dept of Health | Case Manager/Care Coordinator | 3 Capitol Hl, Attn M Domenech Room 209, Providence, RI 02908-5034 | 2007-03-13 |
| 1760510606 | Meals On Wheels of Ri, Inc. | Case Manager/Care Coordinator | 70 Bath St, Providence, RI 02908-4849 | 2007-03-01 |
| 1871192351 | Kathleen Cloutier | Case Manager/Care Coordinator | 220 Elmwood Ave, Providence, RI 02907-1435 | 2020-10-26 |
| 1093349672 | Amanda Sullivan | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2020-02-24 |
| 1093352213 | Atrik M Pineda | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2019-12-06 |
| 1760024210 | Ellen Sauco | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2019-10-16 |
| 1578105169 | Wendy Oliveira | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2019-10-15 |
| 1013566678 | Arianna Denise Miche | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2019-09-06 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
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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.