TAHMRA REID (NPI# 1790318004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790318004 |
Entity Type | Individual |
Full Name | TAHMRA REID |
Practice Address |
1260 E Arrow Hwy Bldg E Upland CA 91786-4984 |
Mailing Address |
822 E 9th St Upland CA 91786-5423 |
Practice Telephone | 9099321069 |
Mailing Telephone | 9099217589 |
Enumeration Date | 2020-02-14 |
Last Update Date | 2020-02-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
1260 E ARROW HWY BLDG E |
City | UPLAND |
State | CA |
Zip Code | 91786-4984 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710017165 | Roberta Reid | Marriage & Family Therapist | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2007-03-06 |
1073023628 | Melissa Lozano | Licensed Vocational Nurse | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2017-10-10 |
1629591193 | Trudy Alice Osborne | Licensed Vocational Nurse | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2017-07-17 |
1043750375 | Elizabeth Ann Guilleaume | Counselor | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2017-03-06 |
1871037085 | Carlos Cabello | Counselor | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2016-12-06 |
1245697275 | Thomas Marsteller | Counselor | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2016-01-21 |
1801270244 | Smita Kapoor | Marriage & Family Therapist | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2015-07-15 |
1659764934 | Brittany Duarte | Counselor | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2015-03-11 |
1811315260 | Dewraise Corprew | Counselor | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2014-04-02 |
1013260173 | Carina Shaw | Counselor | 1260 E Arrow Hwy Bldg E, Upland, CA 91786-4984 | 2012-10-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
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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 |
---|---|---|---|---|
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 |
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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.