Tierney Flynn Hermann
Rehabilitation Practitioner in San Jose, CA. Individual provider (NPI-1).
NPI number1336712413
StatusActive
Last updated in NPPESJul 1, 2025
Details
- NPI
- 1336712413
- Entity type
- Individual (NPI-1)
- Name
- Tierney Flynn Hermann
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2021
- Certification date
- Jul 1, 2025
- Last updated
- Jul 1, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
425 East Santa Clara StreetSan Jose, CA 95113
Phone 669-245-3428
Mailing address
425 E Santa Clara StSan Jose, CA 95113-1936
Phone 669-245-3428
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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