Active NPI
Angelina Hernandez
- Registered Nurse
- Tulsa, OK
National Provider Identifier
1255016473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 213995
- Practice address
- 2325 S Harvard Ave
Tulsa, OK 74114-3300 - Phone
- (918) 712-4301
- Fax
- (918) 560-1399
- NPI assigned
- Jun 15, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 213995 | AR | Primary |
Addresses
Primary practice location
2325 S Harvard Ave
Tulsa, OK 74114-3300
Mailing address
1820 N 50TH St
Fort Smith, AR 72904-6628
Phone (479) 221-0936
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 |
|---|---|---|---|
| 213995 | AR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1255016473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 N 50TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729046628",
"telephone_number": "479-221-0936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 S HARVARD AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741143300",
"telephone_number": "918-712-4301",
"fax_number": "918-560-1399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "ANGELINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "213995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.