Autumn L Hernandez, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110840531 Issued in VA

Practice address

381 Stuyvesant Street
Suite 1
Warrenton, VA 20186-2400

Phone

(540) 347-4410

Fax

(540) 347-4456

NPI assigned

Jul 3, 2008

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

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Anita M Maybach MD PC

  dba Maybach Urgent Care and General Practice

  • Primary Care Clinic/Center
  • Warrenton, VA
  • NPI 1295998334
  NPD (past)

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1306009824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 STUYVESANT STREET",
            "address_2": "SUITE 1",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862400",
            "telephone_number": "540-347-4410",
            "fax_number": "540-347-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 STUYVESANT STREET",
            "address_2": "SUITE 1",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862400",
            "telephone_number": "540-347-4410",
            "fax_number": "540-347-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "AUTUMN",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110840531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amaris Hemingway
• Melba Dubose Hendrix, LPC, LMFT
• Nesreen M Henien
• Stephanie Procise Henry, PHARMD
• Alexandria Michelle Herbek, PA-C
• Nicole Annette Herring, M.S., CCC-SLP
• Michael Heskett
• Hi-5 ABA Florida Franchise #3, Inc.
• Hi5 ABA Processing Inc
• Nina Sahri Hirshman, D.D.S.

• Medical Physician Assistant in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.