Active NPI
Noelika Ann Raquel Vidad, LPT
- Licensed Psychiatric Technician
- Hanford, CA
National Provider Identifier
1821847369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 40813
- Practice address
- 1393 Bailey St
Hanford, CA 93230-5922 - Phone
- (559) 582-4481
- NPI assigned
- May 16, 2024
- 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 |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 40813 | CA | Primary |
Addresses
Primary practice location
1393 Bailey St
Hanford, CA 93230-5922
Mailing address
32164 Big Creek CT
Visalia, CA 93291-7742
Phone (559) 350-4761
Other practice location 1
32164 Big Creek Ct
Visalia, CA 93291-7742
Phone (559) 350-4761
Other names 1
- Noelika Ann Raquel
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40813 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1821847369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32164 BIG CREEK CT",
"city": "VISALIA",
"state": "CA",
"postal_code": "932917742",
"telephone_number": "559-350-4761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1393 BAILEY ST",
"city": "HANFORD",
"state": "CA",
"postal_code": "932305922",
"telephone_number": "559-582-4481"
}
],
"practiceLocations": [
{
"address_1": "32164 Big Creek Ct",
"address_purpose": "LOCATION",
"city": "Visalia",
"state": "CA",
"postal_code": "932917742",
"country_code": "US",
"telephone_number": "559-350-4761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIDAD",
"first_name": "NOELIKA",
"middle_name": "ANN RAQUEL",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-16",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "40813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NOELIKA",
"last_name": "RAQUEL",
"middle_name": "ANN",
"credential": "LPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.