Raymond Hernandez, CO60274830

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO60274830 Issued in WA

Practice address

20 Gunnyon Rd.
Toppenish, WA 98948

Phone

(509) 865-5121

Fax

(509) 865-4333

NPI assigned

Jan 23, 2019

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1972067023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989480367",
            "telephone_number": "509-865-5121",
            "fax_number": "509-865-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GUNNYON RD.",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "98948",
            "telephone_number": "509-865-5121",
            "fax_number": "509-865-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "RAYMOND",
        "credential": "CO60274830",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60274830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryalice Renate Hardison, ARNP
• Phillip Barrett Hawley, PSYD
• Kristin B Heimerman, MPT
• Kyle Heisey
• Patricia Hernandez
• Correen Jamie Hines, MSW
• Danial Hocson
• Veronica Hooper, DO
• Indian Health Services
• Yvana Iovino, MD

• Addiction (Substance Use Disorder) Counselor in Toppenish, WA
• Providers in Toppenish, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.