Kathleen Daisy Hernandez

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A-1630 Issued in NV

Practice address

5550 Painted Mirage Rd Ste 120
Las Vegas, NV 89149-4582

Phone

(702) 898-7633

NPI assigned

May 13, 2026

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)

Not enrolled

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.

• Brandon Jackson, P T

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1487682076
  NPD (past)

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1164351599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 MCCARRAN ST UNIT 1030",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890818115",
            "telephone_number": "361-905-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 PAINTED MIRAGE RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494582",
            "telephone_number": "702-898-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "KATHLEEN",
        "middle_name": "DAISY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NV",
            "license": "A-1630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Hernandez, PA-C
• Justina Marie Hernandez, DMD
• Karla Mejia Hernandez
• Kassandra Galilea Hernandez
• Katherine Alina Hernandez
• Kenia Hernandez
• Kevin Hernandez
• Kimberly Star Hernandez
• Ladys Hernandez
• Lamonica Hernandez

• Physical Therapy Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapy Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.