ISABELLA ADRIANNA HERNANDEZ (NPI# 1083238679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083238679 |
| Entity Type | Individual |
| Full Name | ISABELLA ADRIANNA HERNANDEZ |
| Practice Address |
875 Perimeter Dr Moscow ID 83844-9803 |
| Mailing Address |
2213 S Michigan Ave Caldwell ID 83605-5549 |
| Practice Telephone | 2088856111 |
| Mailing Telephone | 2087945562 |
| Enumeration Date | 2020-05-30 |
| Last Update Date | 2020-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
875 PERIMETER DR |
| City | MOSCOW |
| State | ID |
| Zip Code | 83844-9803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821024233 | Ryan Tobias Van Amerongen | Specialist/Technologist | 875 Perimeter Dr, Ms:2302, Moscow, ID 83844-2302 | 2006-06-25 |
| 1902423148 | Angelica Torres Luna | Specialist/Technologist | 875 Perimeter Dr, Moscow, ID 83844-9803 | 2020-07-04 |
| 1700403938 | Stephen Michael Panteleakos | Specialist/Technologist | 875 Perimeter Dr, Moscow, ID 83844-9803 | 2020-07-03 |
| 1982228573 | Amanda Chiou | Specialist/Technologist | 875 Perimeter Dr, Moscow, ID 83844-9803 | 2020-05-30 |
| 1487207072 | Mitchell Allen Collar | Student in an Organized Health Care Education/Training Program | 875 Perimeter Dr, Moscow, ID 83844-9803 | 2019-07-22 |
| 1033770029 | Logan Frederick Prins | Specialist/Technologist | 875 Perimeter Dr, Moscow, ID 83844-9803 | 2019-06-21 |
| 1417518408 | Kassandra Johnson | Specialist/Technologist | 875 Perimeter Dr, Moscow, ID 83844-9803 | 2019-06-21 |
| 1023678026 | Natsumi Kuribayashi | Specialist/Technologist | 875 Perimeter Dr, Moscow, ID 83844-9803 | 2019-06-20 |
| 1619441540 | Ashlie Lynn Randall | Specialist/Technologist | 875 Perimeter Dr, Moscow, ID 83844-9803 | 2019-01-14 |
| 1619443561 | Eric Mclain Griffin | Specialist/Technologist | 875 Perimeter Dr, Moscow, ID 83844-9803 | 2018-10-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578118568 | Rechelle Ann Meade | Specialist/Technologist | 875 Perimeter Drive, Moscow, ID 83844 | 2019-08-06 |
| 1720618960 | Samantha Layne Hanna | Specialist/Technologist | 875 Perimeter Drive College of Education 123, Moscow, ID 83844-0001 | 2020-01-15 |
| 1649764713 | Clarissa Marie Edge Richardson | Psychologist | University of Idaho Student Health Center 210, Moscow, ID 83844-0001 | 2018-06-21 |
| 1588193577 | Carmen Perez | Specialist/Technologist | University of Idaho 709 South Deakin St, Moscow, ID 83844-0001 | 2017-06-05 |
| 1013445220 | Alec Webbenhurst | Specialist/Technologist | University of Idaho Athletic Training 875 Dr, Moscow, ID 83844-0001 | 2017-06-01 |
| 1194990044 | William A. Cone | Psychiatry & Neurology | 831 Ash St, Moscow, ID 83844-0001 | 2008-04-22 |
| 1467855403 | Clint Emmett | Nurse Practitioner | 875 Perimeter Dr # Ms 3140, Moscow, ID 83844-2006 | 2014-10-06 |
| 1922529544 | Christopher John Walsh Jr. | Specialist/Technologist | University of Idaho Athletic Training Services, 1000 Stadium Way, Moscow, ID 83844-2302 | 2017-07-05 |
| 1700284262 | Megan Renae Shifflett | Specialist/Technologist | 875 Perimeter Dr # Ms 2302, Moscow, ID 83844-2302 | 2014-12-16 |
| 1013044767 | Megan Brooke Borchert | Specialist/Technologist | 442302 Asui Kibbie Dome, Moscow, ID 83844-2302 | 2007-02-28 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434283 | Luisa Broden | Student in an Organized Health Care Education/Training Program | 902 N Almon St Apt 3, Moscow, ID 83843-8544 | 2020-07-14 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1033633532 | Songah Chae | Student in an Organized Health Care Education/Training Program | 875 Perimeter Drive, Ms 3080, Moscow, ID 83844-3080 | 2017-07-27 |
| 1578096780 | Ashmel Vargas | Student in an Organized Health Care Education/Training Program | 709 S Deakin St, Moscow, ID 83844-9802 | 2017-04-05 |
| 1780116210 | Shelbie Jean Hackett | Student in an Organized Health Care Education/Training Program | 411 S Almon St # 1, Moscow, ID 83843-2219 | 2017-04-03 |
| 1487207072 | Mitchell Allen Collar | Student in an Organized Health Care Education/Training Program | 875 Perimeter Dr, Moscow, ID 83844-9803 | 2019-07-22 |
| 1962868117 | Ray Lee | Student in an Organized Health Care Education/Training Program | 2470 W Pullman Rd, Moscow, ID 83843-4034 | 2016-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733694 | Susan L Boone | Student in an Organized Health Care Education/Training Program | 8506 W Donnybrook Dr, Boise, ID 83709-0606 | 2020-09-02 |
| 1255959003 | Daniel Isaiah Zebedeo | Student in an Organized Health Care Education/Training Program | 430 E Tiger Ave, Post Falls, ID 83854-6649 | 2020-07-08 |
| 1982229944 | Clayton Kline | Student in an Organized Health Care Education/Training Program | 881 E 3900 N, Buhl, ID 83316-5929 | 2020-06-15 |
| 1013538883 | Corbin Curtis Wood | Student in an Organized Health Care Education/Training Program | 355 W 4650 N, Rexburg, ID 83440-3206 | 2020-05-02 |
| 1407476120 | Remington Sloan Farley | Student in an Organized Health Care Education/Training Program | 4015 E Florence Dr Apt 101, Meridian, ID 83642-6185 | 2020-04-22 |
| 1184253585 | Tate Coltan Staker | Student in an Organized Health Care Education/Training Program | 1322 S 2nd E, Rexburg, ID 83440-3824 | 2020-04-07 |
| 1730715855 | Madison Hiatt | Student in an Organized Health Care Education/Training Program | 1209 W Targee St, Boise, ID 83706-4565 | 2020-03-20 |
| 1053946202 | Kaitlyn Casper | Student in an Organized Health Care Education/Training Program | 267 W Arrowrock Ln, Boise, ID 83706-4802 | 2020-03-09 |
| 1558996660 | Erik Malm | Student in an Organized Health Care Education/Training Program | 850 E Franklin Rd Ste 402, Meridian, ID 83642-8917 | 2020-03-09 |
| 1952955825 | Lani Jo Hernandez | Student in an Organized Health Care Education/Training Program | 6200 N River Pointe Dr Apt B203, Boise, ID 83714-1848 | 2019-07-30 |
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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.