Individual provider Active NPI

Yanira Concepcion Hernandez, FNP

  • Family Nurse Practitioner
  • Porter, TX
National Provider Identifier
1104547835
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1089751 Issued in TX
Practice address
24420 FM 1314 Rd
Porter, TX 77365-5489
Phone
(281) 577-5108
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1089751 TX Primary

Addresses

Primary practice location

24420 FM 1314 Rd
Porter, TX 77365-5489

Mailing address

24420 FM 1314 Rd Ste 6
Porter, TX 77365-5490
Phone (786) 731-5088

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
1089751TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Airline Family Practice Associates, Inc CurrentSince Apr 21, 2024 Accepting new patients

Locations

24420 FM 1314 Rd
Ste 6
Porter, TX 77365
Phone (281) 577-5108

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1104547835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24420 FM 1314 RD STE 6",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773655490",
            "telephone_number": "786-731-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24420 FM 1314 RD",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773655489",
            "telephone_number": "281-577-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION HERNANDEZ",
        "first_name": "YANIRA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1089751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.