DENNICE HERNANDEZ (NPI# 1588786222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588786222 |
Entity Type | Individual |
Full Name | DENNICE HERNANDEZ |
Credential | ANP |
Practice Address |
25045 Dunham Avenue Veneta OR 97487-0819 |
Mailing Address |
Po Box 819 Veneta OR 97487-0819 |
Practice Telephone | 5419352035 |
Practice Fax Number | 5419356608 |
Mailing Telephone | 5419352035 |
Mailing Fax Number | 5419356608 |
Enumeration Date | 2007-04-04 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
090006100N3ANP P | OR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
25045 DUNHAM AVENUE |
City | VENETA |
State | OR |
Zip Code | 97487-0819 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083159503 | Icco, LLC | Clinic/Center | 25045 Dunham Avenue, Veneta, OR 97487 | 2016-12-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962858464 | All Seasons Family Medicine PC | Preferred Provider Organization | 25045 Dunham Ave., Veneta, OR 97487 | 2016-05-13 |
1932440492 | Elizabeth Jane Hoffmann | Veterinarian | 88233 Territorial Hwy, Veneta, OR 97487 | 2013-03-08 |
1730429986 | Ryan P Frome | Veterinarian | 88233 Territorial Rd, Veneta, OR 97487 | 2013-02-26 |
1225254402 | Tracy R Robinson | Dentist | 25078 Hunter Rd., Veneta, OR 97487 | 2007-04-17 |
1770650707 | Christa Hitt | Counselor | 87576 Trek Drive, Veneta, OR 97487 | 2006-11-28 |
1871665745 | Donald C. Stair | Dentist | 25078 Hunter Ave, Veneta, OR 97487 | 2006-11-15 |
1861427627 | Shane Alan Gofourth | Chiropractor | 88124 Territorial Rd., Veneta, OR 97487 | 2006-07-11 |
1518990621 | Icco, LLC | Family Medicine | 87983 Territorial Rd, Veneta, OR 97487 | 2006-07-09 |
1043272214 | Select Physical Therapy Orthopedic Services Inc | Clinic/Center | 24947 Highway 126, Suite D, Veneta, OR 97487 | 2006-04-04 |
1437713252 | Veneta Family Dental | Dentist | 25078 Hunter Rd, Veneta, OR 97487 | 2019-04-26 |
Find all providers in zip 97487 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992315972 | Deborah Marie Jones | Nurse Practitioner | 15800 Boones Ferry Rd Ste A6, Lake Oswego, OR 97035-3426 | 2020-08-05 |
1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
1790241065 | Autumn D Mercer Agnp-c LLC | Nurse Practitioner | 1075 Shayla Ln, Central Point, OR 97502-2995 | 2019-02-12 |
1023590841 | Healthy At Home LLC | Nurse Practitioner | 3910 Ne 99th Ave, Portland, OR 97220-3620 | 2018-08-29 |
1437648946 | Stephanie Michele Johnson | Nurse Practitioner | 3560 Se 79th Ave, Portland, OR 97206-2372 | 2018-05-09 |
1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
1003275843 | Catherine Chiaradonna | Nurse Practitioner | 1867 Williams Hwy Ste 226, Grants Pass, OR 97527-5856 | 2016-02-22 |
1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
1538578067 | Karen Lee Warren | Nurse Practitioner | 727 S Wahanna Rd Ste 100, Seaside, OR 97138-7735 | 2014-08-08 |
1245579408 | Derek Brent Kordenbrock | Nurse Practitioner | 625 Sw Ramsey Ave Ste A, Grants Pass, OR 97527-5808 | 2013-02-07 |
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.