Charlotte Diane Hernandez, RN, BSN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

676402 Issued in TX

Practice address

902 Shady LN
Seagoville, TX 75159-1797

Phone

(972) 749-6805

Fax

(972) 749-6801

NPI assigned

Dec 13, 2023

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

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1194593731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 SHADY LN",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751591797",
            "telephone_number": "972-749-6805",
            "fax_number": "972-749-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 SHADY LN",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751591797",
            "telephone_number": "972-749-6805",
            "fax_number": "972-749-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CHARLOTTE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "676402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katrina Haynes
• Nycki Ngoi Ho, DDS
• Shasta Hughes, LVN, HCS-D, HCS-O
• Abbigale Ingram, M.S., CCC-SLP
• Ivibe Therapy PLLC
• J Eric Francom D.M.D

• Pediatric Registered Nurse in Seagoville, TX
• Providers in Seagoville, TX by specialty
• Pediatric Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.