Dolores Viessa Hernandez, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

182-106 Issued in NY

Practice address

8002 Kew Gardens Rd
402
Kew Gardens, NY 11415-3600

Phone

(715) 268-8500

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386858462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HOLLY AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115505209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 KEW GARDENS RD",
            "address_2": "402",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153600",
            "telephone_number": "715-268-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "DOLORES",
        "middle_name": "VIESSA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "182-106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wafa Hawamdeh
• HBS Medical Supplies Inc
• Healing Solution Medical Supply Inc
• Health Source Plus Pharmacy, LLC.
• Health Source Plus Pharmacy, LLC.
• Jessica Hernandez
• Maylen Victoria Herrera Melendez
• Peter Herz, M.D.
• Dianco Lavenski Holder, CASAC
• Mary Katherine Hollenbeck, OTR

• Home Health Registered Nurse in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.