AMANDA LYNN HERNANDEZ (NPI# 1780219741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780219741 |
| Entity Type | Individual |
| Full Name | AMANDA LYNN HERNANDEZ |
| Credential | PEER ADVOCATE |
| Practice Address |
17 Hamilton Ave Monticello NY 12701-1319 |
| Practice Telephone | 8457543125 |
| Mailing Telephone | 8457543125 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881159812 | Amanda Cristina Hernandez | Occupational Therapy Assistant | 14400 Luray Rd, Southwest Ranches, FL 33330-3420 | 2019-02-04 |
| 1801369202 | Amanda Hernandez | Doula | 1038 Clairborne St, Holiday, FL 34690-5935 | 2019-01-08 |
| 1780178921 | Amanda Hernandez | Behavior Technician | 6358 E Mono St, Fresno, CA 93727 | 2018-06-20 |
| 1497255921 | Amanda Joy Hernandez | Behavioral Analyst | 17650 Nw 73rd Ave Apt 208, Hialeah, FL 33015-6232 | 2018-02-21 |
| 1730696139 | Amanda R Hernandez | Licensed Practical Nurse | 13 Flintlock Dr, Shirley, NY 11967-2616 | 2018-01-08 |
| 1053797530 | Amanda Rose Hernandez | Counselor | 652 Bielenberg Dr Ste 104, Woodbury, MN 55125-4419 | 2015-08-06 |
| 1881032753 | Amanda Raeann Hernandez | Social Worker | 165 Christy Dr, Beulaville, NC 28518-7711 | 2013-06-12 |
| 1598023913 | Amanda Lebrija Hernandez | Nurse Practitioner | 3600 W Orange Grove Rd, Space # 34, Tucson, AZ 85741-2824 | 2012-04-24 |
| 1548562739 | Amanda Marie Hernandez | Counselor | 6363 Dezavala, San Antonio, TX 78249 | 2010-11-22 |
| 1053560334 | Amanda Yesenia Hernandez | Student in an Organized Health Care Education/Training Program | 39155 Liberty St Ste A110, Fremont, CA 94538-1513 | 2008-09-11 |
| Street Address |
17 HAMILTON AVE |
| City | MONTICELLO |
| State | NY |
| Zip Code | 12701-1319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437238706 | Council On Alcoholism and Drug Abuse of Sullivan Co., Inc. | Community/Behavioral Health | 17 Hamilton Ave, Monticello, NY 12701-1319 | 2006-11-06 |
| 1912522350 | Rose-mary Sforza | Counselor | 17 Hamilton Ave, Monticello, NY 12701-1319 | 2020-06-11 |
| 1760909717 | Denise Haynes | Counselor | 17 Hamilton Ave, Monticello, NY 12701-1319 | 2017-08-29 |
| 1093243859 | Ava Dolnick | Counselor | 17 Hamilton Ave, Monticello, NY 12701-1319 | 2017-05-24 |
| 1487193470 | Dorothy Burroughs | Licensed Practical Nurse | 17 Hamilton Ave, Monticello, NY 12701-1319 | 2017-02-23 |
| 1588103618 | Daisha Pozo Laguna | Licensed Practical Nurse | 17 Hamilton Ave, Monticello, NY 12701-1319 | 2017-02-22 |
| 1396284261 | Mary Merchant | Counselor | 17 Hamilton Ave, Monticello, NY 12701-1319 | 2017-02-13 |
| 1972054260 | Donna Brodie | Counselor | 17 Hamilton Ave, Monticello, NY 12701-1319 | 2016-10-21 |
| 1538613377 | Rosella Marie Pickens | Licensed Practical Nurse | 17 Hamilton Ave, Monticello, NY 12701-1319 | 2016-08-10 |
| 1689035016 | Thomas Samuel | Counselor | 17 Hamilton Ave, 17 Hamilton Ave, Monticello, NY 12701-1319 | 2016-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854023 | Julia Lynn Waldorf | Student in an Organized Health Care Education/Training Program | 141 Benmosche Road, Monticello, NY 12701 | 2020-09-01 |
| 1205450483 | Deanna Marie Prue | Speech-Language Pathologist | 141 Benmosche Rd, Monticello, NY 12701 | 2020-06-03 |
| 1114552262 | Lauren Madsen | Physical Therapist | 139 Benmosche Rd, Monticello, NY 12701 | 2020-03-10 |
| 1427696061 | Elderberry Icf | Intermediate Care Facility, Mentally Retarded | 15 Poem Place, Monticello, NY 12701 | 2019-12-13 |
| 1407301922 | Nicole M Casamassima | Speech-Language Pathologist | 640 Old Route 17, 641 Old Route 17, Monticello, NY 12701 | 2016-08-25 |
| 1144680018 | Deborah Jackson | Counselor | 17 Hamilton Avenue, Monticello, NY 12701 | 2016-03-04 |
| 1215354592 | Abdelhalim Zaghloul Nada | Physical Therapist | 427 Boardway, Suite #3, Mountain Physical Therapy, Monticello, NY 12701 | 2014-03-25 |
| 1720402795 | Christine Pham | Podiatrist | 427 Broadway Ste 2, Monticello, NY 12701 | 2014-02-12 |
| 1396095139 | Raquel Bottaro | Specialist | 504 South Woods Rd, Monticello, NY 12701 | 2012-09-19 |
| 1558620310 | Maria L Burns | Registered Nurse | 20 Crystal St, Monticello, NY 12701 | 2012-05-14 |
| Find all providers in zip 12701 | ||||
| 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 |
|---|---|---|---|---|
| 1033600267 | Tina Marie Tompkins | Peer Specialist | 396 Broadway, Monticello, NY 12701-1157 | 2018-05-23 |
| 1093206468 | Joshua Rivera | Peer Specialist | 396 Broadway, Monticello, NY 12701-1157 | 2018-05-22 |
| 1184114860 | Kelly Moorer | Peer Specialist | 396 Broadway, Monticello, NY 12701-1157 | 2018-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385896 | Gary N/a Peluso | Peer Specialist | 62 Allan Dr, East Norwich, NY 11732-1203 | 2020-10-28 |
| 1043810138 | Ryan Hope Mcgovern | Peer Specialist | 950 S Oyster Bay Rd Bay Road, Hicksville, NY 11801-3510 | 2020-10-28 |
| 1669070207 | Sayeeda Zorita Daniels | Peer Specialist | 111 Woodlawn Ave Apt 2, Buffalo, NY 14209-1713 | 2020-10-15 |
| 1801409842 | Alexander Mannino | Peer Specialist | 419 Palisade Ave, Yonkers, NY 10703-2610 | 2020-08-28 |
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1467064832 | Kenneth Robert Lewis | Peer Specialist | 320 N Goodman St Ste 202320, Rochester, NY 14607-1185 | 2020-08-18 |
| 1700404001 | Kathy Annett Gardini | Peer Specialist | 1914 Brookhaven Ave, Far Rockaway, NY 11691-3626 | 2020-07-13 |
| 1669099826 | Moseka Turkessa James | Peer Specialist | 1220 Remsen Ave # 1, Brooklyn, NY 11236-3925 | 2020-07-02 |
| 1174140545 | Mercedes Busby | Peer Specialist | 118 Brauncroft Ln, Amherst, NY 14226-4957 | 2020-07-01 |
| 1457977258 | Carla J Alomar | Peer Specialist | 414 Martin Rd, Lackawanna, NY 14218-2830 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 12701 |
Please comment or provide details below to improve the information on AMANDA LYNN HERNANDEZ.
| 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.