Active NPI
Ana C Hernandez
- Occupational Therapist
- Miramar, FL
National Provider Identifier
1316554371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21221
- Practice address
- 19370 SW 29TH CT
Miramar, FL 33029-2474 - Phone
- (954) 330-1585
- NPI assigned
- Sep 24, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 21221 | FL | Primary |
Addresses
Primary practice location
19370 SW 29TH CT
Miramar, FL 33029-2474
Mailing address
12315 Pembroke Rd
Pembroke Pines, FL 33025-1723
Phone (954) 330-1585
Other practice location 1
2400 N Grimes St Ste B26
Hobbs, NM 88240-2124
Phone (575) 437-2001
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 |
|---|---|---|---|
| 21221 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kommunikare Therapy PC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1316554371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12315 PEMBROKE RD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330251723",
"telephone_number": "954-330-1585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19370 SW 29TH CT",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330292474",
"telephone_number": "954-330-1585"
}
],
"practiceLocations": [
{
"address_1": "2400 N Grimes St Ste B26",
"address_purpose": "LOCATION",
"city": "Hobbs",
"state": "NM",
"postal_code": "882402124",
"country_code": "US",
"telephone_number": "575-437-2001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "ANA",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-24",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "21221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.