Individual provider Active NPI

Lorena Hernandez

  • Speech-Language Assistant
  • Phoenix, AZ
National Provider Identifier
1053998971
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA15314 Issued in AZ
Practice address
10240 N 31St Ave Ste 126
Phoenix, AZ 85051-9599
Phone
(602) 635-3860
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA15314 AZ Primary
Music Therapist 225A00000X

Addresses

Primary practice location

10240 N 31St Ave Ste 126
Phoenix, AZ 85051-9599

Mailing address

10240 N 31St Ave Ste 126
Phoenix, AZ 85051-9599

Other practice location 1

10240 N 31st Ave Ste 126
Phoenix, AZ 85051-9599
Phone (602) 635-3860

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
SLPA15314AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Phoenix LLC CurrentSince Jun 23, 2024 Accepting new patients

Locations

10240 N 31st Ave
Ste 126
Phoenix, AZ 85051
Phone (602) 635-3860

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1053998971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 N 31ST AVE STE 126",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 N 31ST AVE STE 126",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519599",
            "telephone_number": "602-635-3860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10240 N 31st Ave Ste 126",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850519599",
            "country_code": "US",
            "telephone_number": "602-635-3860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LORENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA15314",
            "primary": true
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.