DIANE MARIE HERNANDEZ- LEARN (NPI# 1114077096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114077096 |
| Entity Type | Individual |
| Full Name | DIANE MARIE HERNANDEZ- LEARN |
| Other Name | DIANE MARIE HERNANDEZ |
| Credential | PA |
| Practice Address |
264 Tilghman Rd Salisbury MD 21804-1921 |
| Practice Telephone | 4107427246 |
| Mailing Telephone | 4432602660 |
| Mailing Fax Number | 4432602660 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2019-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C01277 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | DEA | MH1485487 | 01 |
| MD | CDS | PA62418 | 01 |
| MD | LICENSE | C01277 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 E Carroll St, Salisbury, MD 218015422 | 4105437530 |
| Street Address |
264 TILGHMAN RD |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184605461 | Conworth L Dayton-jones | Anesthesiology | 264 Tilghman Rd, Salisbury, MD 21804-1921 | 2005-11-14 |
| 1083239933 | Tidalhealth Specialty Care, LLC | Anesthesiology | 264 Tilghman Rd, Salisbury, MD 21804-1921 | 2020-06-16 |
| 1831632744 | Meredith Gwen Borzotta | Nurse Practitioner | 264 Tilghman Rd, Salisbury, MD 21804-1921 | 2016-11-24 |
| 1790914273 | Ajit Shrestha | Anesthesiology | 264 Tilghman Rd, Salisbury, MD 21804-1921 | 2009-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558834234 | Kevin Timothy Johnson | Physician Assistant | 411 Naylor Mill Rd, Salisbury, MD 21801-1191 | 2019-01-06 |
| 1225583693 | Benjamin Gogg | Physician Assistant | 3103 Grandeur Dr, Salisbury, NC 28146-1618 | 2016-08-16 |
| 1114381449 | Courtney Mishler | Physician Assistant | 1821 Sweetbay Dr # 1, Salisbury, MD 21804-1664 | 2016-04-13 |
| 1720214919 | Heesung Sean Kim | Physician Assistant | 106 Pine Bluff Rd Ste 11, Salisbury, MD 21801-7161 | 2009-06-02 |
| 1275791147 | Vincent Walter Lewis | Physician Assistant | 1324 Belmont Ave Ste 103, Salisbury, MD 21804-4543 | 2008-05-28 |
| 1295365377 | Kaitlyn Marie Shelton | Physician Assistant | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-01-17 |
| 1346727351 | Kathryn M Melore | Physician Assistant | 100 E Carroll St, Salisbury, MD 21801-5422 | 2018-07-23 |
| 1639619224 | Lewis Primary Care, P.a. | Physician Assistant | 1324 Belmont Ave, Unit 103, Salisbury, MD 21804-4584 | 2017-03-01 |
| 1245778182 | Nicole Graham | Physician Assistant | 1401 W Innes St, Salisbury, NC 28144-2574 | 2017-02-10 |
| 1508223108 | Lawrence Tawiah | Physician Assistant | 951 Mount Hermon Rd, Salisbury, MD 21804-5159 | 2016-01-27 |
| Find all providers in SALISBURY | ||||
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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.