JACOB ANDREW HERNANDEZ (NPI# 1912223355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912223355 |
| Entity Type | Individual |
| Full Name | JACOB ANDREW HERNANDEZ |
| Credential | CAC II |
| Practice Address |
11750 Lincoln St Northglenn CO 80233-1107 |
| Practice Telephone | 3034529133 |
| Practice Fax Number | 3034529133 |
| Mailing Telephone | 3034529133 |
| Mailing Fax Number | 3034529133 |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2010-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACB 6822 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326552803 | Jacob Michael Hernandez | Nurse Anesthetist, Certified Registered | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5169 | 2017-11-20 |
| Street Address |
11750 LINCOLN ST |
| City | NORTHGLENN |
| State | CO |
| Zip Code | 80233-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477018232 | Kantor Dental Group 2, Pllc | Clinic/Center | 11979 Holly St, Thornton, CO 80233 | 2019-02-06 |
| 1841789799 | Alicia Carol | Music Therapist | 3750 E 107th Ave, Thornton, CO 80233 | 2018-05-07 |
| 1750893228 | Lisa Marie Gonzales | Speech-Language Pathologist | 11875 Humboldt Drive, Northglenn, CO 80233 | 2017-10-24 |
| 1205354842 | Ishtar Khan | Registered Nurse | 11064 Clayton Street, Northglenn, CO 80233 | 2017-09-05 |
| 1649727702 | Beth Hale | Counselor | 1104 Eudora Circle, Thornton, CO 80233 | 2016-09-07 |
| 1376090977 | Audrey Holland | Registered Nurse | 2965 East 109th Avenue, Specialty Foot Care LLC, Northglenn, CO 80233 | 2016-09-01 |
| 1962958223 | Northglenn Endoscopy Center LLC | Clinic/Center | 11900 Grant Street, #320, Northglenn, CO 80233 | 2016-08-28 |
| 1518349141 | Ashley Makelky | Registered Nurse | 11427 Cook Court, Denver, CO 80233 | 2015-06-19 |
| 1992115497 | Northglenn Smiles Dentistry and Orthodontics, LLP | Dentist | 100 E 120th Avenue, Unit C130, Northglenn, CO 80233 | 2014-05-06 |
| 1053744136 | Dominic Evan Philpott | Dentist | 10780 N. Washington Ave., Northglenn, CO 80233 | 2013-08-13 |
| Find all providers in zip 80233 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780198325 | Michelle Counts | Counselor | 11658 Huron St Ste 400, Northglenn, CO 80234-2922 | 2017-11-17 |
| 1841666245 | Chandra J Brandt | Counselor | 2008 W 120th Ave Ste A5, Northglenn, CO 80234-2450 | 2015-08-19 |
| 1568851392 | Fredrick Carl Widman | Counselor | 11160 Huron St Ste 32, Northglenn, CO 80234-3335 | 2015-01-16 |
| 1740608959 | Jose Alejandro Castro | Counselor | 10699 Melody Dr Ste 2, Northglenn, CO 80234-4131 | 2014-04-03 |
| 1730428145 | April Zink | Counselor | 2002 W 120th Ave, Suite 1, Northglenn, CO 80234-2433 | 2013-02-05 |
| 1639414378 | Annika Elizabeth Papke | Counselor | 10465 Melody Dr Ste 226, Northglenn, CO 80234 | 2012-12-06 |
| 1578854717 | Julia R Smith | Counselor | 11172 Huron St # 25a, Northglenn, CO 80234-4380 | 2011-04-21 |
| 1073767448 | Linda G. Cagle | Counselor | 10701 Melody Dr., Suite 340, Northglenn, CO 80234 | 2008-11-11 |
| 1801040696 | Bi Incorporated | Counselor | 506 Malley Dr, Northglenn, CO 80233-1928 | 2008-11-06 |
| 1023078482 | Dawn Elizabeth King | Counselor | 11285 Highline Dr, Northglenn, CO 80233-3076 | 2006-03-27 |
| Find all providers in NORTHGLENN | ||||
| City | NORTHGLENN |
| Zip Code | 80233 |
Please comment or provide details below to improve the information on JACOB ANDREW 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.