Individual provider Active NPI

Donna Hermida, RN

  • Psychiatric/Mental Health Registered Nurse
  • Brunswick, GA
National Provider Identifier
1083034458
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN141097 Issued in GA
Practice address
123 Glyndale Dr
Ste 101
Brunswick, GA 31520-1403
Phone
(912) 388-2320
Fax
(888) 391-0298
NPI assigned
Apr 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN141097 GA
Psychiatric/Mental Health Registered Nurse 163WP0808X RN141097 GA Primary

Addresses

Primary practice location

123 Glyndale Dr
Ste 101
Brunswick, GA 31520-1403

Mailing address

7395 Hodgson Memorial Dr
Ste 101
Savannah, GA 31406-1505
Phone (912) 208-0883

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN141097GAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lillie Cares Health Services, LLC Past Accepting new patients

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": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1083034458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7395 HODGSON MEMORIAL DR",
            "address_2": "STE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061505",
            "telephone_number": "912-208-0883",
            "fax_number": "888-391-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 GLYNDALE DR",
            "address_2": "STE 101",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315201403",
            "telephone_number": "912-388-2320",
            "fax_number": "888-391-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMIDA",
        "first_name": "DONNA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN141097",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN141097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.