Individual provider Active NPI

Azeneth Hernandez

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1376242578
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1130680 Issued in TX
Practice address
1941 East Rd Ste 1218
Houston, TX 77054-6010
Phone
(713) 486-2559
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1130680 TX Primary

Addresses

Primary practice location

1941 East Rd Ste 1218
Houston, TX 77054-6010

Mailing address

19114 Greenview Glen Dr
Cypress, TX 77433-0053
Phone (713) 253-7853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240506003649 TX Practitioner - Nurse Practitioner 3375983406 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1130680TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Heart and Vascular Center PLLC Family CurrentSince Apr 1, 2024 Accepting new patients
Southwest Texas Two Medical Group, PLLC Past Accepting new patients

Locations

235 W Palm St
Ste 107
Bellville, TX 77418
Phone (281) 955-9158

24518 Northwest Fwy
Ste 355
Cypress, TX 77429
Phone (346) 537-5999

24518 Northwest Fwy
Ste 345
Cypress, TX 77429
Phone (281) 955-9158

21212 Northwest Fwy
Ste 505
Cypress, TX 77429
Phone (281) 664-1700

27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000

Interoperability endpoints

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1376242578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19114 GREENVIEW GLEN DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774330053",
            "telephone_number": "713-253-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 EAST RD STE 1218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770546010",
            "telephone_number": "713-486-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "AZENETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1130680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.