Kelli Leilani Hernandez, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95022712 Issued in CA

Practice address

1218 W Olive Ave
Burbank, CA 91506-2216

Phone

(818) 845-2255

NPI assigned

Jan 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kelli Leilani Moriguchi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1285872267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 W OLIVE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062216",
            "telephone_number": "818-845-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 W OLIVE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062216",
            "telephone_number": "818-845-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Avenue 64",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052711",
            "country_code": "US",
            "telephone_number": "323-254-2274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "KELLI",
        "middle_name": "LEILANI",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "MORIGUCHI",
            "middle_name": "LEILANI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jasmine Hernandez
• Jaylene Hernandez
• Jessica Hernandez
• Kassandra Hernandez
• Kathrine Anne Hernandez, NP
• Kristen Hernandez, PA-C
• Lizbeth Hernandez, RD
• Luis Hernandez
• Regina Hernandez
• Ricardo Antonio Hernandez

• Family Nurse Practitioner in Burbank, CA
• Providers in Burbank, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.