DEREIDA FATIMA ANDRADE
NPI 1114643525
Peer Specialist in Visalia, CA
- Individual
- Female
- Peer Specialist
About DEREIDA ANDRADE
This page provides the complete NPI Profile along with additional information for Dereida Andrade, a provider established in Visalia, California with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1114643525 assigned on October 2022. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1114643525 Verify this NPI
- Provider Name
- DEREIDA FATIMA ANDRADE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1840 S CENTRAL ST VISALIA, CA 93277
- Location Phone
- (559) 471-4050
- Mailing Address
- 1840 S CENTRAL ST VISALIA, CA 93277
- Mailing Phone
- (559) 471-4050
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-17-2022
- Last Update Date
- 03-11-2024
- Code Navigator
Location Map
Secondary Locations
- 1840 S Central St
Visalia, CA 93277
(559) 471-4050
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114643525, enumerated as an "individual" on October 17, 2022.
The provider is located at 1840 S CENTRAL ST VISALIA, CA 93277 and the phone number is (559) 471-4050.
Peer Specialist with taxonomy code 175T00000X.