Nallely Hernandez, CRNP

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

SPO22066 Issued in PA

Practice address

333 Cottman Ave
Philadelphia, PA 19111-2497

Phone

(215) 214-1782

NPI assigned

Sep 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1023625878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4998 MASTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314521",
            "telephone_number": "267-439-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112497",
            "telephone_number": "215-214-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "NALLELY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "SPO22066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Hernandez, RN
• Enrique Hernandez, MD
• Jacob Alexander Hernandez, MD, MPH
• Jeffrey Hernandez, MD
• Miguel Hernandez
• Paul Tarver Hernandez, M.D.
• Santiago Hernandez, PH.D.
• Zaida Hernandez, MD
• Gilda Herndon
• Amy Rebecca Hernley

• Medical Oncology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Medical Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.