Individual provider Active NPI

Susan Margaret Hernandez, AG-ACNP-BC, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1225445687
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
138569 Issued in TX
Practice address
2701 S Hampton Rd Ste 250
Dallas, TX 75224-2363
Phone
(469) 297-3074
NPI assigned
Jul 17, 2014
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 138569 TX
Acute Care Nurse Practitioner 363LA2100X 297751 GA
Acute Care Nurse Practitioner 363LA2100X 25130 SC
Family Nurse Practitioner 363LF0000X 25130 SC
Family Nurse Practitioner 363LF0000X 297751 GA
Family Nurse Practitioner 363LF0000X 138569 TX Primary

Addresses

Primary practice location

2701 S Hampton Rd Ste 250
Dallas, TX 75224-2363

Mailing address

2701 S Hampton Rd Ste 250
Dallas, TX 75224-2363
Phone (469) 297-3074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
297751GAMDAcute Care Nurse Practitioner
138569TXMDAcute Care Nurse Practitioner
25130SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
True North Health Navigation LLC CurrentSince Sep 1, 2023 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Dispatchhealth-Florida Inc. PastSince Aug 1, 2021 Accepting new patients
Excella Home Health Agency, LLC PastSince May 11, 2020 Accepting new patients
Professional Portable Radiologic Services Inc. Past Accepting new patients

Locations

3455 Ringsby Ct
Ste 102
Denver, CO 80216
Phone 3035001518 ext. 30350

4220 Apex Hwy
Ste 160
Durham, NC 27713
Phone (919) 897-8784

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

Organizations & group practices 5

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": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1225445687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S HAMPTON RD STE 250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752242363",
            "telephone_number": "469-297-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S HAMPTON RD STE 250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752242363",
            "telephone_number": "469-297-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "SUSAN",
        "middle_name": "MARGARET",
        "credential": "AG-ACNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "138569",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "297751",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "25130",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25130",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "297751",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "138569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.