COURTNEY H DUARTE (NPI# 1699322990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699322990 |
| Entity Type | Individual |
| Full Name | COURTNEY H DUARTE |
| Practice Address |
15400 Cholame Rd Victorville CA 92392-2480 |
| Practice Telephone | 7602435417 |
| Mailing Telephone | 7602435417 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
15400 CHOLAME RD |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92392-2480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306977913 | Mary Ann Speight | Marriage & Family Therapist | 15400 Cholame Rd, Victorville, CA 92392-2480 | 2007-03-07 |
| 1760080493 | Isaiah Daniel Heller | Peer Specialist | 15400 Cholame Rd, Victorville, CA 92392-2480 | 2020-10-14 |
| 1194332924 | Cassandra Munoz | Counselor | 15400 Cholame Rd, Victorville, CA 92392-2480 | 2020-09-25 |
| 1174130165 | Joann C Castro | Community Health Worker | 15400 Cholame Rd, Victorville, CA 92392-2480 | 2020-09-24 |
| 1457968398 | Kimberly Michelle Bruno | Social Worker | 15400 Cholame Rd, Victorville, CA 92392-2480 | 2020-09-24 |
| 1316553324 | Israel Cox | Community Health Worker | 15400 Cholame Rd, Victorville, CA 92392-2480 | 2020-09-16 |
| 1730795758 | Amanda Lauren Talbot | Community Health Worker | 15400 Cholame Rd, Victorville, CA 92392-2480 | 2020-09-16 |
| 1306464938 | Glycell Robledo Felix | Community Health Worker | 15400 Cholame Rd, Victorville, CA 92392-2480 | 2020-07-09 |
| 1669093761 | Paula Joy Espinosa-shaw | Community Health Worker | 15400 Cholame Rd, Victorville, CA 92392-2480 | 2020-04-29 |
| 1730716457 | Oleg Tsabur | Counselor | 15400 Cholame Rd, Victorville, CA 92392-2480 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568688 | Kristin Parris | Behavior Technician | 15490 Civic Drive, Victorville, CA 92392 | 2020-02-03 |
| 1366001604 | Pine Ridge Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 15367 Bonanza Rd, Ste A, Victorville, CA 92392 | 2019-06-11 |
| 1851871289 | Betty A. Murphy, Lmft, Inc | Marriage & Family Therapist | 15437 Anacapa Rd. Ste 26, Victorville, CA 92392 | 2018-08-15 |
| 1104313402 | Jorge L Soler Iglesias | Nurse Practitioner | 12459 Cricket St., Victorville, CA 92392 | 2018-04-23 |
| 1689192049 | Jamesina Johns | Nurse Practitioner | 12127 Mall Blvd #148, Victorville, CA 92392 | 2017-09-06 |
| 1285151886 | Jasmin Sanchez | Behavioral Analyst | 13201 Eclipse Ave, Victorville, CA 92392 | 2017-08-24 |
| 1174049829 | Virginia Marshall | Behavioral Analyst | 13901 Amargosa Rd., Victorville, CA 92392 | 2017-08-15 |
| 1346781465 | San Bernardino Conty | Counselor | 15480 Ramona Ave., Victoville, CA 92392 | 2017-03-09 |
| 1841741279 | Lorinda Morreale | Marriage & Family Therapist | 15428 Civic Dr. Ste 200, Act Family Counseling, Victorville, CA 92392 | 2016-10-20 |
| 1235582404 | Greater Hope Foundation | Community/Behavioral Health | 14344 Cajon Avenue, Suite 101, 103, Victorville, CA 92392 | 2016-07-22 |
| Find all providers in zip 92392 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149532 | Taja Michelle Alexander | Peer Specialist | 12625 Hesperia Rd Ste B, Victorville, CA 92395-7720 | 2019-11-19 |
| 1760080493 | Isaiah Daniel Heller | Peer Specialist | 15400 Cholame Rd, Victorville, CA 92392-2480 | 2020-10-14 |
| 1083230809 | Erica Richling | Peer Specialist | 12625 Hesperia Rd Ste B, Victorville, CA 92395-7720 | 2020-06-17 |
| 1033735881 | Tess Mcclellan | Peer Specialist | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2020-06-17 |
| 1790239416 | Alberto Vargas | Peer Specialist | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2016-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | VICTORVILLE |
| Zip Code | 92392 |
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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.