Individual provider Active NPI

Desiree Altagracia Hernandez, SLP

  • Speech-Language Pathologist
  • Suitland, MD
National Provider Identifier
1427773969
Registry record updated May 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10767 Issued in MD
Practice address
5625 Allentown Rd Ste 200
Suitland, MD 20746-4521
Phone
(301) 520-9376
NPI assigned
Oct 6, 2022
Last updated
May 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10767 MD Primary

Addresses

Primary practice location

5625 Allentown Rd Ste 200
Suitland, MD 20746-4521

Mailing address

5625 Allentown Road
Suite 200
Suitland, MD 20746-4521
Phone (301) 520-9376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230929002449 DC Practitioner - Qualified Speech Language Pathologist 3678927217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Associates, LLCGroup PAC ID 9931529864, 2 clinicians

Practice addresses (Care Compare)

5625 Allentown Rd
Suite 200
Suitland, MD 20746-4521
Phone (301) 520-9376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Associates, LLC Speech-Language Pathologist CurrentSince Sep 18, 2023 Accepting new patients

Locations

5625 Allentown Rd
Ste 200
Suitland, MD 20746
Phone (301) 241-0285

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": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715472000000",
    "number": "1427773969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 ALLENTOWN ROAD",
            "address_2": "SUITE 200",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464521",
            "telephone_number": "301-520-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 ALLENTOWN RD STE 200",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464521",
            "telephone_number": "301-520-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "DESIREE",
        "middle_name": "ALTAGRACIA",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2024-05-12",
        "certification_date": "2024-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "10767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suitland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.