Tanya Alejandra Hernandez, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

58686 Issued in NM

Practice address

5690 Santa Teresita Dr Ste A2
Santa Teresa, NM 88008-9211

Phone

(800) 675-6030

NPI assigned

Dec 16, 2019

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1245878677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 SANTA TERESITA DR STE A2",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089211",
            "telephone_number": "575-332-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 SANTA TERESITA DR STE A2",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089211",
            "telephone_number": "800-675-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "TANYA",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "58686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Hernandez
• David Sebastian Hernandez
• Kimberly Abril Hernandez
• Luis Hernandez
• Maria Vanessa Hernandez
• Angelica Chantal Herrera, LVN
• Marisa Herrera
• Rocio Herrera, LMSW
• Lisa Hinckley
• Kimber Hirsch, MSPED, AUTISM

• Psychiatric/Mental Health Nurse Practitioner in Santa Teresa, NM
• Providers in Santa Teresa, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.