Active NPI
Madeline Carmen Hernandez
- Specialist
- Alexandria, VA
National Provider Identifier
1164705539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0019009273
- Practice address
- 5838 Brookview Dr
Alexandria, VA 22310-1817 - Phone
- (703) 350-8640
- NPI assigned
- Sep 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0019009273 | VA | Primary |
Addresses
Primary practice location
5838 Brookview Dr
Alexandria, VA 22310-1817
Mailing address
5838 Brookview Dr
Alexandria, VA 22310-1817
Phone (703) 350-8640
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0019009273 | VA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1164705539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5838 BROOKVIEW DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223101817",
"telephone_number": "703-350-8640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5838 BROOKVIEW DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223101817",
"telephone_number": "703-350-8640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MADELINE",
"middle_name": "CARMEN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0019009273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.