Active NPI
Nancy Beatriz Herrera, PT
- Physical Therapist
- Martin, TN
National Provider Identifier
1437362639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0000004350
- Practice address
- 640 Hannings LN
Martin, TN 38237-3308 - Phone
- (731) 587-3193
- Fax
- (731) 588-2732
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0000004350 | TN | Primary |
Addresses
Primary practice location
640 Hannings LN
Martin, TN 38237-3308
Mailing address
144 Dogwood LN
Martin, TN 38237-8638
Phone (731) 676-1565
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT0000004350 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437362639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 DOGWOOD LN",
"city": "MARTIN",
"state": "TN",
"postal_code": "382378638",
"telephone_number": "731-676-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 HANNINGS LN",
"city": "MARTIN",
"state": "TN",
"postal_code": "382373308",
"telephone_number": "731-587-3193",
"fax_number": "731-588-2732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "NANCY",
"middle_name": "BEATRIZ",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT0000004350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martin, TN
Sources for this page
- 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.