Active NPI
Christy Danielle Hernandez
- Family Nurse Practitioner
- Amarillo, TX
National Provider Identifier
1053819797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP136302
- Practice address
- 1200 Wallace Blvd
Amarillo, TX 79106-1741 - Phone
- (806) 351-4152
- NPI assigned
- Jan 29, 2018
- Last updated
- Mar 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP136302 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP136302 | FL | |
| Family Nurse Practitioner | 363LF0000X | AP136302 | TX | Primary |
Addresses
Primary practice location
1200 Wallace Blvd
Amarillo, TX 79106-1741
Mailing address
25600 Autumn Ridge Dr
Canyon, TX 79015-1259
Other practice location 1
1616 S Kentucky St Ste B100
Amarillo, TX 79102-2224
Phone (806) 358-9400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Wallace Blvd
Amarillo, TX 79106-1741
Phone (806) 351-4155
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP136302 | TX | MD | Nurse Practitioner |
| AP136302 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healogics Specialty Physicians of Texas, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Healogics Specialty Physicians of Arizona LLC | Past | Accepting new patients | |
| Nautilus Health Care Group LLC | Nurse Practitioner | Past | Accepting new patients |
| FMC LTC Aco LLC | Nurse Practitioner | Past | Accepting new patients |
Locations
1105 Central Expy N
Ste 2210
Allen, TX 75013
Phone (972) 747-4325
1200 Wallace Blvd
Amarillo, TX 79106
Phone (806) 351-4150
Organizations & group practices 4
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.
-
- Surgery Physician
- Allen, TX
- NPI 1285051094
Nurse Practitioner
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Yuma, AZ
- NPI 1417327107
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Melbourne, FL
- NPI 1912013558
Nurse Practitioner
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Amarillo, TX
- NPI 1407191984
-
dba CenterWell Home Health
- Home Health Agency
- Amarillo, TX
- NPI 1174755151
-
dba Northwest Texas Healthcare System
- General Acute Care Hospital
- Amarillo, TX
- NPI 1467442418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1053819797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25600 AUTUMN RIDGE DR",
"city": "CANYON",
"state": "TX",
"postal_code": "790151259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 WALLACE BLVD",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061741",
"telephone_number": "806-351-4152"
}
],
"practiceLocations": [
{
"address_1": "1616 S Kentucky St Ste B100",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791022224",
"country_code": "US",
"telephone_number": "806-358-9400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "CHRISTY",
"middle_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-29",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP136302",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "AP136302",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP136302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.