Individual provider Active NPI

Tatiana Luz Hernandez, MD

  • Family Medicine Physician
  • Trinity, FL
National Provider Identifier
1366535320
Registry record updated Sep 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME90671 Issued in FL
Practice address
3633 Little Rd
Suite 103
Trinity, FL 34655-1815
Phone
(727) 853-1800
Fax
(727) 853-1807
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME90671 FL Primary

Addresses

Primary practice location

3633 Little Rd
Suite 103
Trinity, FL 34655-1815

Mailing address

3633 Little Rd
Suite 103
Trinity, FL 34655-1815
Phone (727) 853-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051006000277 FL Practitioner - General PracticePractitioner - Family Practice 9335164680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2155 Little Rd
Trinity, FL 34655-4410
Phone (727) 853-1800

3633 Little Rd
Suite 103
Trinity, FL 34655-1815
Phone (727) 853-1800

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME90671FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tatiana L Hernandez MD PA CurrentSince Sep 27, 2007 Accepting new patients
Hans a Langschwager MD PA Past Accepting new patients

Locations

2160 Duck Slough Blvd
Ste 103
Trinity, FL 34655
Phone (727) 789-9006

2155 Little Rd
Trinity, FL 34655
Phone (727) 853-1800

3633 Little Rd
Ste 103
Trinity, FL 34655
Phone (352) 293-2810

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIIABA/Endpoint/CIIABA

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441411200000",
    "number": "1366535320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 LITTLE RD",
            "address_2": "SUITE 103",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551815",
            "telephone_number": "727-853-1800",
            "fax_number": "727-853-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 LITTLE RD",
            "address_2": "SUITE 103",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551815",
            "telephone_number": "727-853-1800",
            "fax_number": "727-853-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "TATIANA",
        "middle_name": "LUZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME90671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.