IVY HAZEL BERMUDEZ (NPI# 1013533256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013533256 |
| Entity Type | Individual |
| Full Name | IVY HAZEL BERMUDEZ |
| Credential | MA, LPC |
| Practice Address |
1145 Shasta Dr Amarillo TX 79110-3526 |
| Practice Telephone | 8066785652 |
| Mailing Telephone | 8066785652 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
77006 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1145 SHASTA DR |
| City | AMARILLO |
| State | TX |
| Zip Code | 79110-3526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972060234 | Brenda Carole Hoot | Dietitian, Registered | 5111 Canyon Drive, Amarillo, TX 79110 | 2019-02-22 |
| 1861856288 | Andrea Walker | Contractor | 4004 Business Park Dr, Amarillo, TX 79110 | 2016-04-12 |
| 1801181508 | Kendra Mclaughlin | Counselor | 7601 S Western St, Amarillo, TX 79110 | 2011-06-10 |
| 1780620674 | Mobile Xray of Amarillo | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4303 South Fannin, Amarillo, TX 79110-0000 | 2006-06-21 |
| 1649373861 | Daniel M Novak | Internal Medicine | 3108 S. Fillmore St., Amarillo, TX 79110-1026 | 2006-09-06 |
| 1356397301 | Amarillo Multiservice Center for The Aging, Inc. | Clinic/Center | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2006-05-25 |
| 1992256887 | Angelica Sanchez Lopez | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2016-10-17 |
| 1891109773 | Breezi Leeann Wilson | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2014-06-18 |
| 1619380516 | Christel Holt | Registered Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2014-06-09 |
| 1417207408 | Petra Lashun Telford | Licensed Vocational Nurse | 3108 S Fillmore St, Amarillo, TX 79110-1026 | 2012-09-17 |
| Find all providers in zip 79110 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418890 | Alicia Artz | Counselor | 6812 Digby Ln, Amarillo, TX 79119-1126 | 2020-08-20 |
| 1841816568 | Kristen Barrick | Counselor | 3611 S Soncy Rd Ste 9b, Amarillo, TX 79119-6408 | 2020-06-18 |
| 1902428626 | Cassie Kerns | Counselor | 4200 Ridgecrest Cir Ste A6, Amarillo, TX 79109-5416 | 2020-05-15 |
| 1407482110 | Laci Lee Merrell | Counselor | 2028 S Austin St Apt 704, Amarillo, TX 79109-1959 | 2020-03-14 |
| 1164053377 | Rachel Deann Hall | Counselor | 19401 Saddlehorn Rd, Amarillo, TX 79119-1231 | 2020-01-28 |
| 1386286177 | Tiffany Wright | Counselor | 7971 Sw 45th Ave Ste 200, Amarillo, TX 79119-7035 | 2019-10-13 |
| 1922652866 | Rachel Buckalew | Counselor | 3014 Sw 26th Ave Ste 4000, Amarillo, TX 79109-3175 | 2019-07-29 |
| 1700439718 | Jacqueline Flynt | Counselor | 2801 Wolflin Ave, Amarillo, TX 79109-1649 | 2019-07-18 |
| 1245892686 | Jayme York | Counselor | 7002 Covenant Ln, Amarillo, TX 79109-6879 | 2019-07-06 |
| 1235697897 | Renetta Renee Harris | Counselor | 3601 S Georgia St Ste C-2, Amarillo, TX 79109-4800 | 2019-03-03 |
| Find all providers in AMARILLO | ||||
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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.