KELLY VANESSA HERNANDEZ JR. (NPI# 1164048666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164048666 |
| Entity Type | Individual |
| Full Name | KELLY VANESSA HERNANDEZ JR. |
| Practice Address |
4709 Cherry Hill Rd College Park MD 20740-1329 |
| Practice Telephone | 2407011132 |
| Mailing Telephone | 2407011132 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
ACTIVE | MD | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457509820 | Kelly Hernandez | Early Intervention Provider Agency | 40 Quaker Lake Ter, Orchard Park, NY 14127-2826 | 2008-08-28 |
| 1760663181 | Kelly Lee Hernandez | Chiropractor | 2618 Electronic Ln, 102, Dallas, TX 75220-1216 | 2007-11-15 |
| 1023618261 | Kelly Hernandez | Family Medicine | 12330 Pinecrest Rd Ste 250, Reston, VA 20191-1657 | 2020-10-27 |
| 1235694175 | Kelly Hernandez | Behavior Technician | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2019-02-05 |
| 1174930549 | Kelly Hernandez | Dental Hygienist | 2998 Ginnala Dr, Suite 101, Loveland, CO 80538-7819 | 2014-07-17 |
| 1346588175 | Kelly Cleanne Hernandez | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2013-01-29 |
| 1164707956 | Kelly Hernandez | Case Manager/Care Coordinator | 8755 Aero Dr, San Diego, CA 92123-1776 | 2011-10-12 |
| 1528381696 | Kelly S. Hernandez | Marriage & Family Therapist | 1660 Humboldt Rd Ste 3, Chico, CA 95928-9199 | 2010-03-03 |
| 1285963363 | Kelly N. Hernandez | Counselor | 341 Irwin Ln, Santa Rosa, CA 95401-5603 | 2009-12-18 |
| 1912196890 | Kelly Hernandez | Registered Nurse | 701 E Davis St, Ste A, Conroe, TX 77301-3099 | 2007-10-17 |
| Street Address |
4709 CHERRY HILL RD |
| City | COLLEGE PARK |
| State | MD |
| Zip Code | 20740-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147633 | S.a.f.e. Counseling Services LLC | Counselor | 6210 Greenbelt Road, L 4, Berwyn Heights, MD 20740 | 2020-02-23 |
| 1326528621 | Ryan Rehabilitation LLC | Counselor | 7100 Baltimore Ave Ste 105, College Park, MD 20740 | 2018-08-16 |
| 1760981120 | L. Jones-dove & Associates Tooth Spa LLC | Dentist | 6103 Greenbelt Road, College Park, MD 20740 | 2018-02-12 |
| 1538682257 | Heather Gambacorto | Behavior Technician | 3525 Marlbrough Way, College Park, MD 20740 | 2017-07-25 |
| 1841722691 | Bradley Weitzel | Specialist/Technologist | 4068 Field House Drive, College Park, MD 20740 | 2017-03-31 |
| 1083152284 | Kabrima Y Petty | Nurse Practitioner | 10201 Baltimore Ave Apt 5102, College Park, MD 20740 | 2017-02-08 |
| 1659728517 | Brownstone Project In Md | Community/Behavioral Health | 6201 Greenbelt Rd Ste M6, Berwyn Heights, MD 20740 | 2016-05-20 |
| 1114371093 | Thomas Lowell Bennett | Specialist/Technologist | 7675 Baltimore Ave, R 0100, College Park, MD 20740 | 2016-04-18 |
| 1306226808 | Linda Ronma Williams | Nurse Practitioner | 4701 Melbourne Place, College Park, MD 20740 | 2015-06-01 |
| 1124427927 | Sarah Elizabeth Woerner | Pharmacist | 7300 Baltimore Boulevard, College Park, MD 20740 | 2014-08-18 |
| Find all providers in zip 20740 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336429356 | Sharon Ann Ganaway | Technician | 5532 Rock Lake Dr, College Park, GA 30349-8907 | 2011-08-22 |
| 1912202920 | Beverly Jean Marzell | Technician | 325 Marley Dr, College Park, GA 30349-7101 | 2011-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536933 | Joi Watts | Technician | 16 Potomac St, Cumberland, MD 21502-4754 | 2020-10-23 |
| 1316546732 | Megan Weissfuss | Technician | 18348 Roy Croft Dr, Hagerstown, MD 21740-1676 | 2020-10-19 |
| 1316545973 | Nuria Reyes | Technician | 3223 Powder Mill Rd, Hyattsville, MD 20783-1030 | 2020-10-15 |
| 1528666344 | Miracle Jade Morton | Technician | 17815 Merino Dr, Accokeek, MD 20607-3277 | 2020-10-14 |
| 1518564814 | Ashanti Savage | Technician | 8700 Post Oak Way, Hyattsville, MD 20785-4734 | 2020-10-08 |
| 1730786815 | Regina Sutherland | Technician | 114 Green St, Westernport, MD 21562-1704 | 2020-10-02 |
| 1528665668 | Roseline Ndip Ayuk | Technician | 931 Caslon Way Apt 104, Hyattsville, MD 20785-6005 | 2020-10-01 |
| 1043827793 | Elvis Tinong Mbah | Technician | 3504 Hubbard Rd Apt 204, Hyattsville, MD 20785-2068 | 2020-09-28 |
| 1417564162 | Adolf Mba Bafi | Technician | 9905 Good Luck Rd Apt T1, Lanham, MD 20706-3246 | 2020-09-27 |
| 1295342194 | Shirlee Degraphenreid | Technician | 938 E Swan Creek Rd # 282, Fort Washington, MD 20744-5250 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE PARK |
| Zip Code | 20740 |
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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.