ALEXIS HEREDIA LOPEZ (NPI# 1932767225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932767225 |
| Entity Type | Individual |
| Full Name | ALEXIS HEREDIA LOPEZ |
| Practice Address |
100 Poplar Ave Modesto CA 95354-0510 |
| Practice Telephone | 2095234573 |
| Mailing Telephone | 2095234573 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2020-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003447350 | Alexis Lopez | Student in an Organized Health Care Education/Training Program | 405 Queenswood Trl, Victoria, TX 77901-2548 | 2020-01-27 |
| 1013404235 | Alexis Lopez | Specialist/Technologist | 2537 Pine Shadows Dr, Huntsville, TX 77320-3723 | 2018-04-13 |
| 1831551860 | Alexis Lopez | Student in an Organized Health Care Education/Training Program | Msc Department 1 University of New Mexico, Albuquerque, NM 87131-2719 | 2016-03-29 |
| 1790163400 | Alexis Lopez | Occupational Therapist | 9558 Lake Chase Island Way, Tampa, FL 33626-1929 | 2015-05-13 |
| 1962018473 | Alexis M Lopez | Behavior Technician | 7777 131st St Ste 7, Seminole, FL 33776-4015 | 2020-09-20 |
| 1952945925 | Alexis Lauren Lopez | Dietitian, Registered | 428 Harrison Ave # 101, Claremont, CA 91711-4605 | 2019-11-03 |
| 1760982714 | Alexis Lopez | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2018-02-16 |
| 1538679527 | Alexis Lopez | Counselor | 4205 W Figarden Dr, Fresno, CA 93722-6051 | 2017-10-04 |
| 1033585088 | Alexis Carmen Lopez | Social Worker | 5740 Ralston St Ste 100, Ventura, CA 93003-7847 | 2015-08-13 |
| 1487953824 | Alexis N Lopez | Speech-Language Pathologist | 9093 Ridgefield Dr., Suite 102, Frederick, MD 21701-6711 | 2011-03-24 |
| Street Address |
100 POPLAR AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-0510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225157480 | Erika Adrina Apodaca | Counselor | 100 Poplar Ave, Modesto, CA 95354-0510 | 2007-03-28 |
| 1124634514 | Yahaira Judith Andrade | Counselor | 100 Poplar Ave, Modesto, CA 95354-0510 | 2020-09-21 |
| 1851909931 | America Bucio | Case Manager/Care Coordinator | 100 Poplar Ave, Modesto, CA 95354-0510 | 2020-07-15 |
| 1528684966 | Tim Mathews | Case Manager/Care Coordinator | 100 Poplar Ave, Modesto, CA 95354-0510 | 2020-06-22 |
| 1831715325 | Daisy Prasad | Case Manager/Care Coordinator | 100 Poplar Ave, Modesto, CA 95354-0510 | 2020-06-19 |
| 1215553961 | Monica Martinez | Case Manager/Care Coordinator | 100 Poplar Ave, Modesto, CA 95354-0510 | 2020-06-18 |
| 1558986810 | Orlando Hernandez Soto | Case Manager/Care Coordinator | 100 Poplar Ave, Modesto, CA 95354-0510 | 2020-06-12 |
| 1548885767 | Shadi Ahmad | Case Manager/Care Coordinator | 100 Poplar Ave, Modesto, CA 95354-0510 | 2020-06-12 |
| 1699390989 | Jerome A Johnson | Case Manager/Care Coordinator | 100 Poplar Ave, Modesto, CA 95354-0510 | 2020-06-11 |
| 1730704206 | Kristine Nicole Rea | Case Manager/Care Coordinator | 100 Poplar Ave, Modesto, CA 95354-0510 | 2020-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378408 | Amelia Ann Garcia | Counselor | 1004 Whitemarsh Way, Modesto, CA 95356-1237 | 2020-08-28 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1720463029 | Valerie Kristine Seagle | Counselor | 615 13th St Ste B1, Modesto, CA 95354-2456 | 2015-07-28 |
| 1952702706 | Michelle Ann Culver | Counselor | 4640 Spyres Way Ste 7, Modesto, CA 95356-9800 | 2014-09-11 |
| 1942601398 | Brianna Bossard | Counselor | 1231 8th St Ste 775, Modesto, CA 95354-2232 | 2014-09-04 |
| 1043619380 | Fanny Cortez | Counselor | 121 Downey Ave Apt 120, Modesto, CA 95354-1208 | 2014-08-21 |
| 1548669500 | Shannon Breckenridge | Counselor | 1800 Tully Rd # Stua-2, Modesto, CA 95350-2946 | 2014-08-15 |
| 1639503352 | Nicole Valadao | Counselor | 2625 F Coffee Rd # 132, Modesto, CA 95355-2053 | 2013-08-29 |
| 1942633979 | Monika Nicole Teves | Counselor | 504 King Richard Ln, Modesto, CA 95350-1532 | 2013-08-13 |
| 1700156007 | Erin L Black | Counselor | 426 14th St Ste 119, Modesto, CA 95354-2661 | 2012-01-04 |
| Find all providers in MODESTO | ||||
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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.