Individual provider Active NPI

Teresa Hernandez, FNP

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1356137251
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
841547 Issued in NV
Practice address
6111 S Buffalo Dr Ste 170
Las Vegas, NV 89113-2328
Phone
(702) 820-1900
NPI assigned
Apr 17, 2025
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 841547 NV Primary

Addresses

Primary practice location

6111 S Buffalo Dr Ste 170
Las Vegas, NV 89113-2328

Mailing address

542 Via Santiago St
Las Vegas, NV 89144-4513
Phone (928) 444-6859

Other practice location 1

2960 Sunridge Heights Pkwy Ste 100
Henderson, NV 89052-4463
Phone (725) 238-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20250519002592 NV Practitioner - Nurse Practitioner 7517485931 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carefirst Urgent Care, LLC CurrentSince Apr 16, 2025 Accepting new patients
Clinic 21 of Nevada Zyniewicz PLLC CurrentSince Apr 16, 2025 Accepting new patients
CG Medical Associates Inc Past Accepting new patients

Locations

5216 Boulder Hwy
Ste 105
Las Vegas, NV 89122
Phone (513) 846-6778

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

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, 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": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1356137251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 VIA SANTIAGO ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444513",
            "telephone_number": "928-444-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 S BUFFALO DR STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132328",
            "telephone_number": "702-820-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2960 Sunridge Heights Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524463",
            "country_code": "US",
            "telephone_number": "725-238-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "TERESA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "841547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.