Active NPI
Hollie M Spangler
- Peer Specialist
- Defiance, OH
National Provider Identifier
1598270928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 511 Perry St
Defiance, OH 43512-2123 - Phone
- (419) 237-3103
- Fax
- (419) 237-4044
- NPI assigned
- Dec 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
511 Perry St
Defiance, OH 43512-2123
Mailing address
10340 Territorial Rd
Waldron, MI 49288-9751
Phone (419) 212-4468
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CDCA.163367 | Other | OH | LICENSE |
Other names 1
- Hollie M Hernandez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512604800000",
"number": "1598270928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10340 TERRITORIAL RD",
"city": "WALDRON",
"state": "MI",
"postal_code": "492889751",
"telephone_number": "419-212-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 PERRY ST",
"city": "DEFIANCE",
"state": "OH",
"postal_code": "435122123",
"telephone_number": "419-237-3103",
"fax_number": "419-237-4044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANGLER",
"first_name": "HOLLIE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-07",
"last_updated": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "CDCA.163367",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLIE",
"last_name": "HERNANDEZ",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Defiance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.