Individual provider Active NPI

Ashley D Hernandez, NP

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1164900429
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
103123 Issued in TX
Practice address
18816 FM 2252 Ste B
San Antonio, TX 78266-2853
Phone
(210) 823-0100
NPI assigned
Jul 30, 2018
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Family Medicine Physician 207Q00000X 103123 TX Primary

Addresses

Primary practice location

18816 FM 2252 Ste B
San Antonio, TX 78266-2853

Mailing address

9343 Autumn Storm
San Antonio, TX 78254-1900
Phone (210) 386-4062

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
103123TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Vida Diagnostics PLLC CurrentSince Dec 13, 2022 Accepting new patients
Tbi Integrative Care, PLLC PastSince Apr 24, 2022 Accepting new patients

Locations

18816 FM 2252
Ste B
San Antonio, TX 78266
Phone (210) 823-0100

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": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1164900429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9343 AUTUMN STORM",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782541900",
            "telephone_number": "210-386-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18816 FM 2252 STE B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782662853",
            "telephone_number": "210-823-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ASHLEY",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "103123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.