Gwinnette R Hernandez, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

403094 Issued in NY

Practice address

1019 821 County Rd RT 64 Ste 1
Elmira, NY 14903

Phone

(607) 331-1600

Fax

(607) 442-1209

NPI assigned

Aug 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Western New York Med-Psych PLLC

  • Psychiatry Physician
  • Coudersport, PA
  • NPI 1568618353
  NPD (past)

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1124638671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 821 COUNTY RD RT 64 STE 1",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14903",
            "telephone_number": "607-331-1600",
            "fax_number": "607-442-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 821 COUNTY RD RT 64 STE 1",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14903",
            "telephone_number": "607-331-1600",
            "fax_number": "607-442-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "GWINNETTE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven J Heneghan, M.D.
• Joanna Marie Henry
• Gregory Hepburn, MA
• Kathleen Ann Herman
• Ronald Lee Herman, RPH
• Heather D Heroux, MSPT
• Susan Herron
• David Hersh, R.N
• Marcia H Hertzog, LCSW
• Kenneth Herzl-Betz, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Elmira, NY
• Providers in Elmira, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.