Individual provider Active NPI

Greta Katherine Hernandez

  • Behavior Analyst
  • Jacksonville, FL
National Provider Identifier
1396158689
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
12077 Diamond Springs Dr
Jacksonville, FL 32246-0597
Phone
(904) 370-3667
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

12077 Diamond Springs Dr
Jacksonville, FL 32246-0597

Mailing address

1615 Geraldine Dr
Jacksonville, FL 32205-9209
Phone (617) 224-3784

Other practice location 1

6867 Southpoint Dr N
Jacksonville, FL 32216-8043
Phone (904) 619-6071

Other practice location 2

6867 Southpoint Dr N
Jacksonville, FL 32216-8043
Phone (904) 619-6071

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

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1396158689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 GERALDINE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322059209",
            "telephone_number": "617-224-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12077 DIAMOND SPRINGS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322460597",
            "telephone_number": "904-370-3667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6867 Southpoint Dr N",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322168043",
            "country_code": "US",
            "telephone_number": "904-619-6071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6867 Southpoint Dr N",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322168043",
            "country_code": "US",
            "telephone_number": "904-619-6071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "GRETA",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.