Individual provider Active NPI

Nayeli Aviles Hernandez, CRNP

  • Adult Health Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1265998447
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-154432 Issued in AL
Practice address
204 Lowe Ave SE Ste 7
Huntsville, AL 35801-4252
Phone
(256) 715-1054
Fax
(256) 715-1082
NPI assigned
Feb 13, 2019
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-154432 AL Primary
Registered Nurse 163W00000X 1-154432 AL

Addresses

Primary practice location

204 Lowe Ave SE Ste 7
Huntsville, AL 35801-4252

Mailing address

606 Avenue C SE
Cullman, AL 35055-3871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240325000839 AL Practitioner - Nurse Practitioner 0042657272 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Medica Moscati CurrentSince Jan 12, 2025 Accepting new patients
Zaheer a Khan MD PC Single Specialty CurrentSince Mar 1, 2024 Accepting new patients

Locations

204 Lowe Ave SE
Ste 7
Huntsville, AL 35801
Phone (256) 517-5091

3007 Memorial Pkwy SW
Ste B
Huntsville, AL 35801
Phone (256) 799-2500

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": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1265998447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 AVENUE C SE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LOWE AVE SE STE 7",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014252",
            "telephone_number": "256-715-1054",
            "fax_number": "256-715-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES HERNANDEZ",
        "first_name": "NAYELI",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-154432",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-154432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.