AUDREY NICOLE IMPERIAL


Address: 101 Bodin Cir, Fairfield, CA 94535-1809
Phone: 7074237001

AUDREY NICOLE IMPERIAL (NPI# 1972137644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972137644
Entity Type Individual
Full Name AUDREY NICOLE IMPERIAL
Other Name AUDREY NICOLE BENAVIDES
Practice Address 101 Bodin Cir
Fairfield
CA 94535-1809
Mailing Address 18014 W Carmen Dr
Surprise
AZ 85388-1668
Practice Telephone 7074237001
Enumeration Date 2020-03-02
Last Update Date 2020-03-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 101 BODIN CIR
City FAIRFIELD
State CA
Zip Code 94535-1809

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912504093 Dallas Mcwilliams Military Health Care Provider 101 Bodin Cir, Fairfield, CA 94535-1809 2020-10-02
1669082897 Sahra K. Pak Dietitian, Registered 101 Bodin Cir, Fairfield, CA 94535-1809 2020-08-03
1164031407 Abigail Greenwell Student in an Organized Health Care Education/Training Program 101 Bodin Cir, Fairfield, CA 94535-1809 2020-07-22
1851919468 Derek P Brady Military Health Care Provider 101 Bodin Cir, Fairfield, CA 94535-1809 2020-07-09
1588282396 Jacob Blotter Counselor 101 Bodin Cir, Fairfield, CA 94535-1809 2020-07-08
1154947679 Daniel Warren Cline Student in an Organized Health Care Education/Training Program 101 Bodin Cir, Fairfield, CA 94535-1809 2020-06-20
1477174654 Robert Dillon Hill Student in an Organized Health Care Education/Training Program 101 Bodin Cir, Fairfield, CA 94535-1809 2020-04-29
1124653878 Hana L Ha Pharmacist 101 Bodin Cir, Fairfield, CA 94535-1809 2020-03-03
1366074163 Christian Heinrich Kniep Student in an Organized Health Care Education/Training Program 101 Bodin Cir, Fairfield, CA 94535-1809 2020-02-10
1457983751 Jeffery Michael Lerma Student in an Organized Health Care Education/Training Program 101 Bodin Cir, Fairfield, CA 94535-1809 2020-02-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508487711 Sheila C Flood Student in an Organized Health Care Education/Training Program 101 Biden Circle, Fairfield, CA 94535 2020-04-28
1568081255 Miguel Julian Moreno Student in an Organized Health Care Education/Training Program 690 Airmen Drive, Travis Afb, CA 94535 2020-04-13
1174096101 Zlatoslava Karga Nurse Practitioner 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 2019-01-02
1437648292 Luke C Vera Dentist David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 2018-05-08
1588163430 Sanaz Ziad Pharmacist 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 2018-02-06
1194265686 Geoffrey Johnston Dentist 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 2017-03-02
1336693407 Hannah Isla Nordwall Social Worker 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 2016-08-06
1184177149 Taylor Murrie-robinson Social Worker 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 2016-07-26
1952759607 Eric Kincaid-sharp General Practice 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 2016-06-02
1023472040 Genieve Marie Martinez-hernandez Internal Medicine 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 2016-04-06
Find all providers in zip 94535

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407466493 Lizbeth Padilla Student in an Organized Health Care Education/Training Program 1125 Hayes St, Fairfield, CA 94533-4707 2020-08-04
1003426024 Rebecca M Dance Student in an Organized Health Care Education/Training Program 5752 David Pl, Fairfield, OH 45014-3508 2020-08-04
1942819826 Lauren J Cotton Student in an Organized Health Care Education/Training Program 1073 North Benson Road, Fairfield, CT 06824 2020-07-28
1396368585 Sadek Debwan Student in an Organized Health Care Education/Training Program 2813 Shelter Hill Dr, Fairfield, CA 94534-8628 2020-05-21
1508487711 Sheila C Flood Student in an Organized Health Care Education/Training Program 101 Biden Circle, Fairfield, CA 94535 2020-04-28
1023647989 Maggie Giambalvo Student in an Organized Health Care Education/Training Program 752 Towne House Rd, Fairfield, CT 06824-1819 2020-04-03
1518503689 Greta Jones Student in an Organized Health Care Education/Training Program 855 Mcglaughlin Rd, Fairfield, PA 17320-9002 2019-11-22
1609424175 Andrew Stephens Student in an Organized Health Care Education/Training Program Dgmc, 101 Bodin Cir, Fairfield, CA 94533 2019-08-28
1427600550 Nancy Ivette Bocanegra Student in an Organized Health Care Education/Training Program 1607 Clay St, Fairfield, CA 94533-3808 2019-07-09
1013481316 Raquel Marie Divincenzo Student in an Organized Health Care Education/Training Program 5151 Park Ave # Mc1425, Fairfield, CT 06825-1090 2019-01-20
Find all providers in FAIRFIELD

Competitor

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City FAIRFIELD
Zip Code 94535

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Dataset Information

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.

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