Individual provider Active NPI

Camila Hernandez, MS, LMFTA

  • Marriage & Family Therapist
  • Seattle, WA
National Provider Identifier
1104417864
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
61119645 Issued in WA
Practice address
3876 Bridge Way N Ste 202
Seattle, WA 98103-7951
Phone
(206) 681-7586
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 61119645 WA Primary

Addresses

Primary practice location

3876 Bridge Way N Ste 202
Seattle, WA 98103-7951

Mailing address

1800 Boren Ave Apt 3109
Seattle, WA 98101-3357
Phone (210) 630-8311

Other practice location 1

1800 Boren Ave Apt 3109
Seattle, WA 98101-3357
Phone (210) 630-8311

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
Master of Science

State licenses

LicenseStateTypeSpecialty
61119645WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1104417864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BOREN AVE APT 3109",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013357",
            "telephone_number": "210-630-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3876 BRIDGE WAY N STE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037951",
            "telephone_number": "206-681-7586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Boren Ave Apt 3109",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981013357",
            "country_code": "US",
            "telephone_number": "210-630-8311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CAMILA",
        "name_prefix": "Mrs.",
        "credential": "MS, LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "61119645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.