Individual provider Active NPI

Maria D Hernandez, FNP,WHNP,RN

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1144555814
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
577629 Issued in TX
Practice address
209 W Village Blvd Ste 3
Laredo, TX 78041-2227
Phone
(956) 725-5210
Fax
(956) 717-1708
NPI assigned
Oct 13, 2009
Last updated
Oct 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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 577629 TX Primary

Addresses

Primary practice location

209 W Village Blvd Ste 3
Laredo, TX 78041-2227

Mailing address

905 Crestview Dr
Laredo, TX 78045-2014
Phone (956) 712-0260

Other identifiers 1

IdentifierTypeStateIssuer
742927980OtherTXTRICARE HUMANA MILITARY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260423002236 TX Practitioner - Nurse Practitioner 1355818642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Chicago, IL 60677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
577629TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oscar Benavides MD PA PastSince Oct 7, 1999 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mhernandez372884@directc.mercy.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1144555814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 CRESTVIEW DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780452014",
            "telephone_number": "956-712-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W VILLAGE BLVD STE 3",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412227",
            "telephone_number": "956-725-5210",
            "fax_number": "956-717-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARIA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "FNP,WHNP,RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "577629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE HUMANA MILITARY",
            "identifier": "742927980",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.