TERESA MARIE HERNANDEZ (NPI# 1417000977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417000977 |
| Entity Type | Individual |
| Full Name | TERESA MARIE HERNANDEZ |
| Credential | CFM |
| Practice Address |
172 Commercial Sq Slidell LA 70461-5418 |
| Mailing Address |
223 North Blvd Slidell LA 70458-1641 |
| Practice Telephone | 9856492010 |
| Practice Fax Number | 9858479205 |
| Mailing Telephone | 9856492010 |
| Mailing Fax Number | 9858479205 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CFM01522 | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | CERT MASTECTOMY FITTER | CFM01522 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1083665731 | Teresa E Hernandez | Social Worker | 215 S Santa Fe Ave, Suite 102, Salina, KS 67401-3980 | 2006-05-15 |
| 1043217763 | Teresa Hernandez | Family Medicine | 1182 Ocean Shore Blvd, Ormond Beach, FL 32176-3799 | 2005-07-07 |
| 1730665076 | Teresa Hernandez | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2018-07-18 |
| 1861987919 | Teresa De Jesus Hernandez | Behavior Technician | 780 S Guardsman Way, Salt Lake City, UT 84108-1374 | 2018-06-29 |
| 1407242936 | Teresa Hernandez | Social Worker | 1954 W Mariposa Pkwy, Wheatland, WY 82201-3102 | 2015-04-10 |
| 1265841118 | Teresa Ellain Hernandez | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2014-08-05 |
| 1760805873 | Teresa Hernandez | Rehabilitation Counselor | 202 N 8th St, El Centro, CA 92243-2302 | 2014-01-24 |
| 1205174612 | Teresa O Hernandez | Physician Assistant | 307 N Salinas Blvd, Suite B, Donna, TX 78537-2929 | 2013-01-18 |
| 1487715942 | Teresa A Hernandez | Social Worker | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2006-12-12 |
| Street Address |
172 COMMERCIAL SQ |
| City | SLIDELL |
| State | LA |
| Zip Code | 70461-5418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487743696 | Brian Franklin Moore | Prosthetist | 172 Commercial Sq, Slidell, LA 70461-5418 | 2006-10-12 |
| 1346499647 | Josh Millet | Prosthetist | 172 Commercial Sq, Slidell, LA 70461-5418 | 2008-09-11 |
| 1972642569 | Parr Prosthetics and Orthopedic Aids | Prosthetic/Orthotic Supplier | 172 Commercial Sq, Slidell, LA 70461-5418 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1104477256 | Peter Khong | Pharmacy | 2915 Us-190, Mandeville, LA 70461 | 2019-09-20 |
| 1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
| 1154824761 | Lisa Michele Mcclinton | Counselor | 1212 Montgomery Blvd, Slidell, LA 70461 | 2018-03-10 |
| 1952816902 | Keiona Monae Thompson | Counselor | 1121 Clairise Ct, Slidell, LA 70461 | 2017-12-12 |
| 1275048688 | Aisha Cade | Counselor | 250 Cross Gates Blvd, Slidell, LA 70461 | 2017-12-07 |
| 1598285405 | Sureway Transits | Non-emergency Medical Transport (VAN) | 135 Rue De La Paix, Slidell, LA 70461 | 2017-06-21 |
| 1043743198 | Natasha Hunter | Counselor | 1650 Barrymore St, Slidell, LA 70461 | 2017-04-05 |
| 1154873891 | Chaise A Bennett | Physical Therapist | 2040 Gause Blvd, Suite 6, Slidell, LA 70461 | 2016-10-28 |
| 1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
| Find all providers in zip 70461 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154953321 | One Source Inc. | Prosthetic/Orthotic Supplier | 1346 Lindberg Dr Ste 8, Slidell, LA 70458-8081 | 2020-02-06 |
| 1356504104 | Restorative Prosthetics & Orthotics | Prosthetic/Orthotic Supplier | 168 Commercial Sq, Slidell, LA 70461-5418 | 2008-07-02 |
| 1972642569 | Parr Prosthetics and Orthopedic Aids | Prosthetic/Orthotic Supplier | 172 Commercial Sq, Slidell, LA 70461-5418 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970418 | B'obsessed Hair Collection | Prosthetic/Orthotic Supplier | 3009 Ray Weiland Dr, Baker, LA 70714-3251 | 2020-07-27 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1831710060 | The Monte' Garcia Salon | Prosthetic/Orthotic Supplier | 10732 S Mall Dr Apt 423, Baton Rouge, LA 70809-4814 | 2020-04-28 |
| 1033746961 | Orthotic & Prosthetic Solutions LLC | Prosthetic/Orthotic Supplier | 11616 Southfork Ave Ste 202, Baton Rouge, LA 70816-5241 | 2020-03-23 |
| 1255975421 | Orthotic & Prosthetic Specialists, Inc. | Prosthetic/Orthotic Supplier | 10241 Coursey Blvd Ste C, Baton Rouge, LA 70816-0409 | 2019-10-31 |
| 1356908180 | Louisiana Prosthetics, LLC | Prosthetic/Orthotic Supplier | 4451 Bluebonnet Blvd Ste C, Baton Rouge, LA 70809-9647 | 2019-05-28 |
| 1295298321 | Swamp Elite Retreat Inc | Prosthetic/Orthotic Supplier | 46424 Rufus Bankston Rd, Hammond, LA 70401-6108 | 2019-04-06 |
| 1780142836 | Jaubert Prosthetics, LLC | Prosthetic/Orthotic Supplier | 1625 Ryan St Ste C, Lake Charles, LA 70601-5965 | 2019-03-07 |
| 1225501752 | Adaptive Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 1208 Louise St, Thibodaux, LA 70301-4257 | 2019-01-08 |
| 1174094304 | Magnolia Medical, LLC | Prosthetic/Orthotic Supplier | 626 Verot School Rd Ste C, Lafayette, LA 70508-5094 | 2018-12-16 |
| Find all providers with the same taxonomy | ||||
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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.