Active NPI
Jose Hernandez
- School Psychologist
- Edmond, OK
National Provider Identifier
1003580622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 424376
- Practice address
- 3225 Farmers Market Way
Edmond, OK 73034-6159 - Phone
- (405) 887-4620
- NPI assigned
- Aug 6, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 424376 | OK | Primary |
Addresses
Primary practice location
3225 Farmers Market Way
Edmond, OK 73034-6159
Mailing address
3225 Farmers Market Way
Edmond, OK 73034-6159
Phone (405) 887-4620
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 |
|---|---|---|---|
| 424376 | OK | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1003580622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 FARMERS MARKET WAY",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346159",
"telephone_number": "405-887-4620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3225 FARMERS MARKET WAY",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346159",
"telephone_number": "405-887-4620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "JOSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-06",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OK",
"license": "424376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.