Individual provider Active NPI

Maxwell Hernandez, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1114658333
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1083729 Issued in TX
Practice address
10350 Montana Ave
El Paso, TX 79925-1602
Phone
(915) 355-2613
NPI assigned
Jun 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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 1083729 TX Primary

Addresses

Primary practice location

10350 Montana Ave
El Paso, TX 79925-1602

Mailing address

822 E Baltimore Dr
El Paso, TX 79902-2432
Phone (915) 355-2613

Other practice location 1

950 Camino Del Rey
Socorro, TX 79927-4288
Phone (915) 355-2613

Other practice location 2

9001 N Loop Dr
El Paso, TX 79907-4742
Phone (915) 355-2613

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
1083729TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1114658333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 E BALTIMORE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022432",
            "telephone_number": "915-355-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251602",
            "telephone_number": "915-355-2613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Camino Del Rey",
            "address_purpose": "LOCATION",
            "city": "Socorro",
            "state": "TX",
            "postal_code": "799274288",
            "country_code": "US",
            "telephone_number": "915-355-2613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9001 N Loop Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799074742",
            "country_code": "US",
            "telephone_number": "915-355-2613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MAXWELL",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2023-02-07",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1083729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.