ADRIENNE PEDRAZA , NPI 1558765669 — HYATTSVILLE (MD)

NPI 1558765669

5+ Years Experience Individual

ADRIENNE PEDRAZA

10/17/2014
PROVIDER ENUMERATION DATE
10/17/2014
LAST UPDATE DATE
1558765669
NPI NUMBER

About ADRIENNE PEDRAZA

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

ADRIENNE PEDRAZA is a provider established in HYATTSVILLE, MD. The NPI number of ADRIENNE PEDRAZA is 1558765669 and was assigned on 10/17/2014. The practitioners primary taxonomy code is: 174H00000X .

Mailing address

  • City: HYATTSVILLE
  • State: MD
  • Postal code: 207811900
  • Address: 4217 JEFFERSON ST APT 3

Primary Practice Address

  • Region : HYATTSVILLE, MD
  • NPI : 1558765669
  • Phone : 3377949781
  • Postalcode : 207811900
  • Address : 4217 JEFFERSON ST APT 3

Provider taxonomy - Health Educator

  • Taxonomy code: 174H00000X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor"s degree and may receive additional training, such as through mentoring, internships, or volunteer work.

Contacts:

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  • ADRIENNE PEDRAZA
  • Address : 4217 JEFFERSON ST APT 3
  • Region : HYATTSVILLE, MD
  • NPI : 1558765669
  • Phone : 3377949781
  • Postalcode : 207811900

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address4217 JEFFERSON ST APT 3
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameHYATTSVILLE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameMD
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code207811900
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3377949781
The telephone number associated with the location address of the provider being identified.
NPI1558765669
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1174H00000X
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor"s degree and may receive additional training, such as through mentoring, internships, or volunteer work.
Provider Enumeration Date10/17/2014
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated10/17/2014
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)ADRIENNE PEDRAZA
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address4217 JEFFERSON ST APT 3
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameHYATTSVILLE
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameMD
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code207811900
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Healthcare Provider Taxonomy Code #1174H00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Health Educator
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor"s degree and may receive additional training, such as through mentoring, internships, or volunteer work.
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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