Active NPI
Gregory Hernandez, CRNA
- Certified Registered Nurse Anesthetist
- Pensacola, FL
National Provider Identifier
1275567935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 568882
- Practice address
- 8383 N Davis Hwy
Pensacola, FL 32514-6039 - Phone
- (850) 494-4200
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 568882 | TX | Primary |
Addresses
Primary practice location
8383 N Davis Hwy
Pensacola, FL 32514-6039
Mailing address
1430 Lemhurst Rd
Pensacola, FL 32507-3539
Phone (850) 981-6460
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002303802 | Medicaid | TX | |
| 84397U | Other | TX | BCBS |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 568882 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ft. Walton Beach Anesthesia Services LLC | Past | Accepting new patients | |
| The Anesthesia Group, P.a. | Past | Accepting new patients | |
| Texas Anesthesia Specialists PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Ft. Walton Beach, FL
- NPI 1245443829
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1871532226
-
- Anesthesiology Physician
- El Paso, TX
- NPI 1710124490
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1275567935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 LEMHURST RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325073539",
"telephone_number": "850-981-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8383 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146039",
"telephone_number": "850-494-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "GREGORY",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "568882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002303802",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "84397U",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.