Judith Ferreyra Garcia

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

10445 Kalen Dr NE
Hanover, MN 55341-4106

Phone

(612) 310-4396

NPI assigned

Oct 24, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1235856907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W FRANKLIN AVE STE 510",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042454",
            "telephone_number": "612-913-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10445 KALEN DR NE",
            "city": "HANOVER",
            "state": "MN",
            "postal_code": "553414106",
            "telephone_number": "612-310-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREYRA GARCIA",
        "first_name": "JUDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cummings Mobility Conversions & Supply Inc.
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• Hanover Dental PLLC
• Inspired Senior Living of Hanover LLC
• Christine Kasten, BSN, PHN, RN, IBCLC
• Leophane Care Corporation

• Community Health Worker in Hanover, MN
• Providers in Hanover, MN by specialty
• Community Health Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.