Individual provider Active NPI

Cabrina Leigh Hernandez, LPN

  • Licensed Practical Nurse
  • Mount Laurel, NJ
National Provider Identifier
1396493359
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
26NP07542100 Issued in NJ
Practice address
199 6TH Ave Ste B-2
Mount Laurel, NJ 08054-9749
Phone
(856) 288-3400
Fax
(856) 626-5251
NPI assigned
Mar 17, 2022
Last updated
Mar 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 26NP07542100 NJ Primary

Addresses

Primary practice location

199 6TH Ave Ste B-2
Mount Laurel, NJ 08054-9749

Mailing address

199 6TH Ave Ste B-2
Mount Laurel, NJ 08054-9749
Phone (856) 288-3400

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

State licenses

LicenseStateTypeSpecialty
26NP07542100NJMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Square One Health Services LLC CurrentSince Mar 20, 2022 Accepting new patients

Locations

199 6th Ave
Ste B2
Mount Laurel, NJ 08054
Phone (732) 838-3400

Organizations & group practices 1

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": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1396493359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 6TH AVE STE B-2",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549749",
            "telephone_number": "856-288-3400",
            "fax_number": "856-626-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 6TH AVE STE B-2",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549749",
            "telephone_number": "856-288-3400",
            "fax_number": "856-626-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CABRINA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP07542100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.