Individual provider Active NPI

Elizabeth Marie Hernandez, RN, MSN, WHCNP

  • Women's Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1003145954
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP118486 Issued in TX
Practice address
4503 S Zarzamora St
San Antonio, TX 78211-1207
Phone
(210) 644-8600
Fax
(210) 644-8625
NPI assigned
Dec 23, 2009
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Perinatal Nurse Practitioner 363LP1700X 695964 TX
Women's Health Nurse Practitioner 363LW0102X AP118486 TX Primary

Addresses

Primary practice location

4503 S Zarzamora St
San Antonio, TX 78211-1207

Mailing address

903 W Martin St # Ms 49-2
San Antonio, TX 78207-0903
Phone (201) 358-5909

Other practice location 1

5411 Fredericksburg Road #200
San Antonio, TX 78229
Phone (210) 614-2209

Other practice location 2

1007 NE Loop 410 Ste 110
San Antonio, TX 78209-1228
Phone (210) 538-8660

Other practice location 3

5411 Fredericksburg Road #200
San Antonio, TX 78229
Phone (210) 614-2209

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehernandez50079@uhssa.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902001097 TX Practitioner - Nurse Practitioner 4587788146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medicine AssociatesGroup PAC ID 7719979509, 590 clinicians

Practice addresses (Care Compare)

4503 S Zarzamora St
Zarzamora Clinic
San Antonio, TX 78211-1207
Phone (210) 644-8600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
695964TXMDPerinatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates CurrentSince Oct 1, 2019 Accepting new patients
Katherine Cornforth MD - OBGYN PLLC CurrentSince May 1, 2023 Accepting new patients
Pain Management Specialists CurrentSince Mar 4, 2021 Accepting new patients

Locations

1007 NE Loop 410
Ste 110
San Antonio, TX 78209
Phone (210) 538-8660

430 W Sunset Rd
Ste 301
San Antonio, TX 78209
Phone (210) 538-8660

4503 S Zarzamora St
San Antonio, TX 78211
Phone (210) 644-8600

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

Interoperability endpoints

  • Direct secure messaging: ehernandez50079@uhssa.direct-ci.com
  • Direct secure messaging: elizabeth.hernandez@direct.myhealthep.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1003145954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 W MARTIN ST # MS 49-2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782070903",
            "telephone_number": "201-358-5909",
            "fax_number": "210-358-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 S ZARZAMORA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782111207",
            "telephone_number": "210-644-8600",
            "fax_number": "210-644-8625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5411 Fredericksburg Road #200",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78229",
            "country_code": "US",
            "telephone_number": "210-614-2209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 NE Loop 410 Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782091228",
            "country_code": "US",
            "telephone_number": "210-538-8660",
            "fax_number": "210-538-8661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5411 Fredericksburg Road #200",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78229",
            "country_code": "US",
            "telephone_number": "210-614-2209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "RN, MSN, WHCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP1700X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Perinatal",
            "state": "TX",
            "license": "695964",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP118486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehernandez50079@uhssa.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4503 S Zarzamora St",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.