PATRICIO PENAHERRERA (NPI# 1609201540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609201540 |
| Entity Type | Individual |
| Full Name | PATRICIO PENAHERRERA |
| Practice Address |
89440 Old Keene Mill Road Springfield VA 22301 |
| Mailing Address |
119 E Linden St Alexandria VA 22301-2221 |
| Practice Telephone | 7035691300 |
| Practice Fax Number | 7035691972 |
| Mailing Telephone | 5163308723 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2016-12-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
89440 OLD KEENE MILL ROAD |
| City | SPRINGFIELD |
| State | VA |
| Zip Code | 22301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649751405 | Paige Elise Cantfil | Nurse Practitioner | 415 Monroe Ave, Alexandria, VA 22301 | 2018-08-28 |
| 1194267021 | Sedationmd Inc | Anesthesiology | 2111 Main Line Blvd, Alexandria, VA 22301 | 2016-11-09 |
| 1831549799 | Amy Howard | Counselor | 118 East Del Ray Avenue, #8, Alexandria, VA 22301 | 2016-06-21 |
| 1508260316 | Krystal Patel | Pharmacist | 1517 Mt. Vernon Ave, Alexandria, VA 22301 | 2014-10-22 |
| 1548680317 | Kelsey Marie Sanford | Anesthesiology | 519 E Luray Ave, Alexandria, VA 22301 | 2014-04-21 |
| 1861825721 | Karen Nesbit Chaudhry | Social Worker | 8500 Executive Avenue, Suite 204, Fairfax, VA 22301 | 2013-08-14 |
| 1356603922 | Gregory James Cardinal | Podiatrist | 2201 Mount Vernon Ave Ste 105, Alexandria, VA 22301 | 2012-06-11 |
| 1588948137 | Carol Ann Whitmire | Acupuncturist | 2101 Mt. Vernon Ave., Alexandria, VA 22301 | 2011-09-30 |
| 1477835569 | Genesis Rehab Services | Nursing Facility/Intermediate Care Facility | 200 W Uhler Ter, Alexandria, VA 22301 | 2011-09-14 |
| 1861688384 | Nathan John Edmundson | Psychologist | 118 E Del Ray Ave, Alexandria, VA 22301 | 2007-09-18 |
| Find all providers in zip 22301 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773361 | Aarika Danielle Gardner | Student in an Organized Health Care Education/Training Program | 560 W Bryant Apt D207, Springfield, MO 65810-8329 | 2020-08-31 |
| 1134743073 | Jared Saylor | Student in an Organized Health Care Education/Training Program | 901 S National Ave, Prof 160, Springfield, MO 65897 | 2020-06-06 |
| 1659995694 | Erin Bowler | Student in an Organized Health Care Education/Training Program | 51 Ingersoll Grv, Springfield, MA 01109-4010 | 2020-06-05 |
| 1063035483 | Mary Anne Iellamo | Student in an Organized Health Care Education/Training Program | 3400 Main St Fl 2, Springfield, MA 01199-1003 | 2020-05-20 |
| 1760005359 | Hannah Elizabeth Schumann | Student in an Organized Health Care Education/Training Program | 1621 E Lark St, Springfield, MO 65804-4351 | 2020-05-18 |
| 1962024109 | Brittany Nicole Campbell | Student in an Organized Health Care Education/Training Program | 2266 Boysenberry Ln Apt 4, Springfield, IL 62711-5414 | 2020-05-11 |
| 1518587286 | Emily Lyn Street | Student in an Organized Health Care Education/Training Program | 38 Country Pl, Springfield, IL 62703-5310 | 2020-04-22 |
| 1730709411 | Mary Kathleen Simon | Student in an Organized Health Care Education/Training Program | 1820 S Wiggins Ave, Springfield, IL 62704-3335 | 2020-04-22 |
| 1225658131 | Sarah Colby Mchugh | Student in an Organized Health Care Education/Training Program | 759 Chestnut St # S5427, Springfield, MA 01199-0001 | 2020-04-21 |
| 1346879889 | Ashly Seby | Student in an Organized Health Care Education/Training Program | 86 Redwood Rd Fl 3, Springfield, NJ 07081-2426 | 2020-04-06 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 22301 |
Please comment or provide details below to improve the information on PATRICIO PENAHERRERA.
| 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.