Individual provider Active NPI

Isabel Rodriguez Hernandez, REGISTER NURSE-IBCLC

  • Lactation Consultant (Non-RN)
  • Mount Vernon, IL
National Provider Identifier
1013737139
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-59293 Issued in IL
Practice address
3406 Veterans Memorial Dr Apt 701
Mount Vernon, IL 62864-6236
Phone
(618) 204-3408
NPI assigned
Oct 14, 2024
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 041553560 IL
Nursing Care Agency 251J00000X 853868 NY
Lactation Consultant (Non-RN) 174N00000X L-59293 IL Primary

Addresses

Primary practice location

3406 Veterans Memorial Dr Apt 701
Mount Vernon, IL 62864-6236

Mailing address

3406 Veterans Memorial Dr Apt 701
Mount Vernon, IL 62864-6236
Phone (618) 204-3408

Other names 1

  • Isabel Hernandez Professional name

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

LicenseStateTypeSpecialty
L-59293ILMDLactation Consultant (Non-RN)
041553560ILMDNursing Care Agency
853868NYMDNursing Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1013737139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 VETERANS MEMORIAL DR APT 701",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646236",
            "telephone_number": "618-204-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 VETERANS MEMORIAL DR APT 701",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646236",
            "telephone_number": "618-204-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ HERNANDEZ",
        "first_name": "ISABEL",
        "credential": "REGISTER NURSE-IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "041553560",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "853868",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "IL",
            "license": "L-59293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABEL",
            "last_name": "HERNANDEZ",
            "credential": "REGISTER NURSE-IBCLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mount Vernon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.