Individual provider Active NPI

Yasmin Leslie Villanueva-Hernandez, RN

  • Registered Nurse
  • Grand Prairie, TX
National Provider Identifier
1144794546
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
956093 Issued in TX
Practice address
1305 Hickory St
Grand Prairie, TX 75050-5937
Phone
(214) 405-2624
NPI assigned
Jan 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 956093 TX Primary

Addresses

Primary practice location

1305 Hickory St
Grand Prairie, TX 75050-5937

Mailing address

1305 Hickory St
Grand Prairie, TX 75050-5937
Phone (214) 405-2624

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
956093TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1144794546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 HICKORY ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505937",
            "telephone_number": "214-405-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 HICKORY ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505937",
            "telephone_number": "214-405-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA-HERNANDEZ",
        "first_name": "YASMIN",
        "middle_name": "LESLIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "956093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.