CLARA LUISA FAJARDO (NPI# 1932532561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932532561 |
| Entity Type | Individual |
| Full Name | CLARA LUISA FAJARDO |
| Practice Address |
1830 Hillandale Rd Durham NC 27705 |
| Mailing Address |
1830 Hillandale Rd Durham NC 27705-2670 |
| Practice Telephone | 9192860411 |
| Practice Fax Number | 9194165914 |
| Mailing Telephone | 9192860411 |
| Mailing Fax Number | 9194165914 |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386858702 | Clara Patricia Fajardo | Dentist | 18818 N 99th Ave, Sun City, AZ 85373-1431 | 2007-05-09 |
| Street Address |
1830 HILLANDALE RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386688489 | Jonathan Eaton Leinbach | Psychiatry & Neurology | 1830 Hillandale Rd, Durham, NC 27705-2670 | 2006-06-16 |
| 1104233204 | Durham Vamc | Clinic/Center | 1830 Hillandale Rd, Durham, NC 27705-2670 | 2014-07-21 |
| 1629304209 | Kate L Berlin | Psychologist | 1830 Hillandale Rd, Durham Vamc, Ptsd Clinic (116e), Durham, NC 27705-2670 | 2009-11-02 |
| 1295975399 | Lotus Meshreki | Psychologist | 1830 Hillandale Rd, Durham Va Medical Center - Hillandale II Clinic, Durham, NC 27705-2670 | 2009-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971315 | Danielle Cullen | Counselor | 839 Onslow St, Durham, NC 27705-4244 | 2020-10-30 |
| 1255930269 | Meredith M Dangel | Counselor | 5015 Southpark Dr Ste 240, Durham, NC 27713-7736 | 2020-10-21 |
| 1699380899 | Angela Teal | Counselor | 314 Hardwick Dr, Durham, NC 27713-7602 | 2020-09-14 |
| 1245841386 | Elana Baumann-carbrey | Counselor | 606 W Markham Ave # Rs, Durham, NC 27701-1618 | 2020-08-12 |
| 1225646433 | Jasmine Reese | Counselor | 4625 Hope Valley Rd Apt A, Durham, NC 27707-6609 | 2020-07-14 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1508499815 | Abigail Garabrant | Counselor | 43 Kimberly Dr, Durham, NC 27707-5418 | 2020-02-14 |
| 1093347023 | Chancie Chaney | Counselor | 4 Boxwood Dr, Durham, NC 27713-9383 | 2020-02-07 |
| 1669004628 | Kira Danielle Parris-moore | Counselor | 525 Crossview Ln, Durham, NC 27703-6729 | 2020-02-07 |
| 1346872645 | Karen Lynn Moen | Counselor | 4600 University Dr Apt 1212, Durham, NC 27707-6121 | 2020-02-05 |
| Find all providers in DURHAM | ||||
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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.