MRS. MARY LISA HECKER (NPI# 1659495406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659495406 |
| Entity Type | Individual |
| Full Name | MRS. MARY LISA HECKER |
| Credential | OTR |
| Practice Address |
1110 Carolina Lane Rm. 206 San Diego CA 92102-3626 |
| Mailing Address |
2074 Valley View Blvd El Cajon CA 92019-2059 |
| Practice Telephone | 6192627342 |
| Practice Fax Number | 6192628918 |
| Mailing Telephone | 6192627342 |
| Mailing Fax Number | 6192628918 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | 0530012 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1110 CAROLINA LANE RM. 206 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92102-3626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023103595 | County of San Diego | Exclusive Provider Organization | 1110 Carolina Lane, San Diego, CA 92102 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766698 | Daniela Tablas | Behavioral Analyst | 303 47th St Spc D-22, San Diego, CA 92102 | 2020-09-30 |
| 1649745712 | Juliet Lao Kurek | Pharmacist | 2121 Imperial Avenue, San Diego, CA 92102 | 2018-10-04 |
| 1851887020 | Monique Joseph | Counselor | 2410 E. Street, San Diego, CA 92102 | 2018-07-10 |
| 1184166316 | Elise Blanton-hubbard | Counselor | 1850 Dale St, San Diego, CA 92102 | 2016-11-04 |
| 1699221416 | Kari Judith Medina | Student in an Organized Health Care Education/Training Program | 1199 34th Street Apt 11, San Diego, CA 92102 | 2016-08-31 |
| 1942674536 | Caitlin Hillary Dablow | Speech-Language Pathologist | 1201 34th Street, San Diego, CA 92102 | 2015-11-19 |
| 1134508179 | Jonathan Waters | Military Health Care Provider | 1233 22nd Street, Unit 8, San Diego, CA 92102 | 2015-05-22 |
| 1871989913 | Abraham Greenberg | Pediatrics | 15 Balfour Street, Jerusalem, ISRAEL 92102 | 2015-04-15 |
| 1023421021 | Elmira Aghdam | Chiropractor | 5030 Bonita Rd Ste#b, Bonita, CA 92102 | 2014-06-06 |
| 1487092540 | Sherry Scott | Marriage & Family Therapist | 995 Gateway Center Drive #300, San Diego, CA 92102 | 2013-06-11 |
| Find all providers in zip 92102 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831676667 | Edward Agunanne Alozie | Rehabilitation Practitioner | 966 Bollenbacher St, San Diego, CA 92114-1833 | 2018-07-24 |
| 1306185558 | Edward L Goldzimer | Rehabilitation Practitioner | 7985 Sentinel, San Diego, CA 92127-2569 | 2013-02-07 |
| 1992042576 | April Rose Largura | Rehabilitation Practitioner | 4967 Newport Ave, Suite 12, San Diego, CA 92107-3167 | 2013-01-15 |
| 1407477292 | Aslene Cabias Julian | Rehabilitation Practitioner | 8060 Frost St, San Diego, CA 92123-2703 | 2020-05-03 |
| 1700271533 | Thats Your Body | Rehabilitation Practitioner | 1804 Cable St, Suite A, San Diego, CA 92107-3141 | 2015-03-30 |
| 1326329277 | Darcy Leigh Richardson | Rehabilitation Practitioner | 734 10th Ave, San Diego, CA 92101-6502 | 2011-09-06 |
| 1679864474 | Kinshirley Lam | Rehabilitation Practitioner | 10174 Old Grove Rd Ste 100, San Diego, CA 92131-1652 | 2011-04-27 |
| 1205153319 | Holly B Arnold | Rehabilitation Practitioner | 5005 Texas St, Suite 203, San Diego, CA 92108-3721 | 2010-04-28 |
| 1700108776 | Chronic Pain Associates, P.C. | Rehabilitation Practitioner | 7592 Metropolitan Dr, Suite 401, San Diego, CA 92108-4428 | 2010-02-18 |
| 1457588733 | Laquetta Johnson | Rehabilitation Practitioner | 4283 El Cajon Blvd, San Diego, CA 92105-1289 | 2009-06-15 |
| Find all providers in SAN DIEGO | ||||
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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.