DR. CAMELLIA LOUISA HERNANDEZ (NPI# 1518229855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518229855 |
Entity Type | Individual |
Full Name | DR. CAMELLIA LOUISA HERNANDEZ |
Credential | M.D. |
Practice Address |
9040 Jackson Ave Tacoma WA 98431-0004 |
Mailing Address |
8253 Anderson Dr Fairfax VA 22031-4857 |
Practice Telephone | 2539685422 |
Mailing Telephone | 5052614556 |
Enumeration Date | 2012-06-12 |
Last Update Date | 2019-03-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
60917702 | WA | Allopathic & Osteopathic Physicians |
Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
D0076598 | MD | Allopathic & Osteopathic Physicians |
Street Address |
9040 JACKSON AVE |
City | TACOMA |
State | WA |
Zip Code | 98431-0004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356345185 | John E Buonora | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave, Tacoma, WA 98431-2025 | 2005-06-09 |
1629675251 | Brian Rankin | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-10-06 |
1508473869 | Allyssa Lynn Borak | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
1093322299 | Jessica Granger | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
1134736481 | Rebecca Reinhardt | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-29 |
1184238479 | Mark Nash | Physical Therapist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-03 |
1679191969 | Christopher A Land | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-13 |
1396362604 | Valerie Kruger | Genetic Counselor, MS | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-02 |
1255958724 | Michael Wong | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-01 |
1841813391 | Kailey Utley | Optometrist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-05-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
Find all providers in zip 98431 |
Taxonomy Code | 207RA0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Allergy & Immunology |
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376156620 | Olympia Allergy & Immunology | Internal Medicine | 2320 130th Ave Ne Ste 220, Bellevue, WA 98005-1718 | 2020-08-26 |
1801948583 | Jennifer W Cole | Internal Medicine | Allergy & Asthma Specialty Service, Ps, 11203 Bridgeport Way Sw, Lakewood, WA 98499-3002 | 2007-01-16 |
1235556432 | Anna Lang | Internal Medicine | 1959 Ne Pacific St., Seattle, WA 98195-0001 | 2014-03-25 |
1427322288 | Lahari Rampur | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2012-02-25 |
1518195999 | Matthew Altman | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2009-06-24 |
1457478042 | Michael F Mullarkey | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-03-26 |
1336286608 | Andrew Ayars | Internal Medicine | University of Washington, 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-01-30 |
1437259835 | Reynold Michael Karr Jr. | Internal Medicine | 4245 Roosevelt Way Ne, Seattle, WA 98105-6008 | 2006-09-25 |
1235106352 | Arvinder Mokha | Internal Medicine | 904 7th Ave, Seattle, WA 98104-1132 | 2006-03-07 |
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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.