ANDREA MARIA HERNANDEZ (NPI# 1891349700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891349700 |
| Entity Type | Individual |
| Full Name | ANDREA MARIA HERNANDEZ |
| Credential | CTRS/L |
| Practice Address |
2615 E Clinton Ave Fresno CA 93703-2223 |
| Practice Telephone | 5592256100 |
| Mailing Telephone | 5592256100 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 168 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OKLAHOMA STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION | 168 | 01 |
| NCTRC | 61269 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633706 | Andrea Monserrat Hernandez | Specialist/Technologist, Other | 9018 Savannah Loop, Laredo, TX 78046-5180 | 2020-09-10 |
| 1508059254 | Andrea Hernandez | Social Worker | 300 Longwood Ave, Bader 5, Ch Department of Social Work, Boston, MA 02115 | 2007-08-24 |
| 1780207571 | Andrea Hernandez | Licensed Psychiatric Technician | 1885 Lundy Ave Ste 223, San Jose, CA 95131-1888 | 2020-05-27 |
| 1225674435 | Andrea Hernandez | Behavioral Analyst | 14828 Serenita Ave, Oklahoma City, OK 73134 | 2019-11-22 |
| 1679117360 | Andrea Hernandez | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2019-11-05 |
| 1295396620 | Andrea Hernandez | Behavior Technician | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2019-06-26 |
| 1417517376 | Andrea Hernandez | Social Worker | 1000 W Carson St, Torrance, CA 90502-2004 | 2019-06-13 |
| 1467016196 | Andrea Lourdes Hernandez | Student in an Organized Health Care Education/Training Program | 9330 State Road 54, Trinity, FL 34655-1808 | 2019-04-29 |
| 1578126140 | Andrea Raquel Hernandez | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-11-ag062, Temple, TX 76508 | 2019-04-18 |
| 1003375171 | Andrea Hernandez | Behavior Technician | 1320 E Shaw Ave Ste 110, Fresno, CA 93710-7905 | 2019-03-18 |
| Street Address |
2615 E CLINTON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93703-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862335 | Gene Raymond Conley | Internal Medicine | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2005-06-27 |
| 1699372839 | Shannon Mondry | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-10-01 |
| 1285249276 | Lauren La Violette | Registered Nurse | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-09-15 |
| 1982218251 | Ariel Celeste Sojourner Reid | Psychologist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-09-03 |
| 1477164432 | Claire Henry | Optometrist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-08-13 |
| 1154930006 | Victoria Sarah Leung | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-07-27 |
| 1881212397 | Veshudha Kang | Physician Assistant | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-07-10 |
| 1609492974 | Cindy Duncan | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-06-22 |
| 1346864600 | Maria Luisa Kitongan Akia | Registered Nurse | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-06-02 |
| 1528681376 | Sharon Heng | Optometrist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396395638 | Angelica Gomez | Behavior Technician | 1535 N. Cedar Ave Apt 159, Fresno, CA 93703 | 2019-09-18 |
| 1326521659 | Skylar Nunes | Licensed Vocational Nurse | 3133 N. Millbrook Ave, Fresno, CA 93703 | 2018-09-12 |
| 1700379377 | Heather Rae Mann | Counselor | 3133 N Miibrook Ave, Fresno, CA 93703 | 2018-06-08 |
| 1891296422 | Guardian Angel's Adult Day Healt Care, LLC | Clinic/Center | 4837 E. Mckinley Avenue, Fresno, CA 93703 | 2018-02-28 |
| 1275052987 | Diana Christine Garnica | Nurse Practitioner | 4950 E Clinton Ave, Fresno, CA 93703 | 2017-09-13 |
| 1639609241 | Ryan Ruhl | Case Manager/Care Coordinator | 3133 N Millbrook Ave., Fresno, CA 93703 | 2017-06-15 |
| 1972034221 | Anna Garcia | Counselor | 1505 N Chestnut, Fresno, CA 93703 | 2017-03-27 |
| 1306227947 | Innovations Counseling Services | Health Maintenance Organization | 2100 Wst. Winery Ave, 101, Fresno, CA 93703 | 2015-06-09 |
| 1639592553 | Janelle K Raynor | Counselor | 1911 East Princeton Avenue, Fresno, CA 93703 | 2014-01-29 |
| 1104166297 | Jessica Marie Flowers-guerrero | Marriage & Family Therapist | 3133 N. Millbrook Ave., Fresno, CA 93703 | 2013-02-26 |
| Find all providers in zip 93703 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740636190 | Jason Dobbins | Recreation Therapist | 4635 N Wishon Ave, Fresno, CA 93704-3142 | 2016-05-04 |
| 1174998827 | Emily Kroeker | Recreation Therapist | 5828 W Fallon Ave, Fresno, CA 93722-2812 | 2015-12-07 |
| 1033264494 | Brian C Bishop | Recreation Therapist | 11 S Teilman Ave, Fresno, CA 93706-1332 | 2007-01-24 |
| 1487714416 | Danielle A Payn | Recreation Therapist | 3147 N Millbrook Ave, Fresno, CA 93703-1425 | 2006-12-11 |
| 1891336004 | Mailee Vang | Recreation Therapist | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2019-09-30 |
| 1962928606 | Mallory Catherine Cooper | Recreation Therapist | 2140 Merced St, Fresno, CA 93721-1721 | 2017-08-15 |
| 1639567704 | Jaime William | Recreation Therapist | 2042 Kern St, Fresno, CA 93721-2008 | 2014-12-24 |
| 1760533368 | Daniel Proctor Norton | Recreation Therapist | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2007-01-12 |
| 1811059751 | Hope N. Giordano | Recreation Therapist | 3147 N Millbrook Ave, Fresno, CA 93703-1425 | 2006-12-15 |
| 1558422170 | Thomas Charles Bulger | Recreation Therapist | 3147 N Millbrook Ave, Fresno, CA 93703-1425 | 2006-12-13 |
| Find all providers in FRESNO | ||||
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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.