KIMBERLY HUDSPETH


Address: 1148 W Gettysburg Ave, Fresno, CA 93705-0933
Phone: 5594810940

KIMBERLY HUDSPETH (NPI# 1649570458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649570458
Entity Type Individual
Full Name KIMBERLY HUDSPETH
Credential LPT
Practice Address 1148 W Gettysburg Ave
Fresno
CA 93705-0933
Practice Telephone 5594810940
Mailing Telephone 5594810940
Enumeration Date 2010-10-26
Last Update Date 2010-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 167G00000X Licensed Psychiatric Technician 31694 CA Nursing Service Providers

Other Providers KIMBERLY HUDSPETH

NPI Name Taxonomy Address Enumeration
1518079623 Kimberly K Hudspeth Internal Medicine 205 Munster St, Germantown, IL 62245-1004 2006-08-31

Office Location

Street Address 1148 W GETTYSBURG AVE
City FRESNO
State CA
Zip Code 93705-0933

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194295683 Deja Marie Velasquez Counselor 2772 S. Martin Luther King Jr. Blvd., Fresno, CA 93705 2018-11-28
1952800344 Maria Del Rosario Marin Counselor 2550 W. Clinton Ave., Fresno, CA 93705 2018-02-12
1326293978 Sueann Vial Marriage & Family Therapist 4545 N. West Ave, Fresno, CA 93705 2008-11-24
1396227757 Raul Prado Jr. Marriage & Family Therapist 4545 N West Ave, Fresno, CA 93705 2018-09-02
1538645353 Amabelle Shayeghi Marquez Dentist 1255 W Shields Ave, Fresno, CA 93705 2018-07-15
1114443165 Melissa De Benedetto Marriage & Family Therapist 4545 N. West Ave., Fresno, CA 93705 2017-08-21
1033630421 Lorena Soledad Dominguez Marriage & Family Therapist 4545 N. West Ave., Fresno, CA 93705 2017-07-06
1730634635 Mental Health Systems, Inc. Substance Abuse Rehabilitation Facility 2550 W Clinton Ave, Fresno, CA 93705 2016-08-20
1558747261 Cameron Hilaire Counselor 2550 W Clinton Ave, Fresno, CA 93705 2015-08-04
1568858280 Robin Lynn Ruby Counselor 2550 W Clinton Ave, Fresno, CA 93705 2015-04-09
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Taxonomy Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619370004 Phyllis Rodriguez Licensed Psychiatric Technician 496 S Barton Ave, Fresno, CA 93702-2985 2014-09-30
1871748657 Steven Ralph Colwell Licensed Psychiatric Technician 637 W Hammond Ave, Fresno, CA 93728-2200 2008-11-20
1356404602 Joseph Exnicious Jules Licensed Psychiatric Technician 1312 E Garland Ave, Fresno, CA 93704-4938 2006-12-18
1871100248 Tanveer Hans Licensed Psychiatric Technician 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 2020-09-29
1366069577 Ulysses Ruvalcaba Licensed Psychiatric Technician 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 2020-07-03
1750908141 Brooke Annette Denham Licensed Psychiatric Technician 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 2020-07-01
1376178509 Michelle Mendez Licensed Psychiatric Technician 1235 E St, Fresno, CA 93706-2024 2020-03-09
1801426630 Shaylee Maxfield Licensed Psychiatric Technician 4411 E Kings Canyon Rd # 319, Fresno, CA 93702-3604 2020-01-21
1740828094 Eric Okafor Licensed Psychiatric Technician 496 S Barton Ave, Fresno, CA 93702-2985 2019-12-18
1609411677 Anthony Jauregui Licensed Psychiatric Technician 496 S Barton Ave, Fresno, CA 93702-2985 2019-11-13
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Competitor

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City FRESNO
Zip Code 93705

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Dataset Information

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.

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