Mary Kathleen Herrera, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP132142 Issued in TX

Practice address

8333 9TH Ave
Suite B
Port Arthur, TX 77642-8083

Phone

(409) 729-9200

NPI assigned

Aug 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southeast Texas Pediatric Center PA

  • Pediatrics Physician
  • Nederland, TX
  • NPI 1720761075
  NPD (past)

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1467906503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 9TH AVE",
            "address_2": "SUITE B",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428083",
            "telephone_number": "409-729-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 9TH AVE",
            "address_2": "SUITE B",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428083",
            "telephone_number": "409-729-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "MARY KATHLEEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DRIVER'S LICENSE",
            "identifier": "29194400",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "770857",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "AP132142",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Patteson Hebert, M.S., CCC-SLP
• John Joseph Hederman, D.D.S
• Jasmonaiye M Henderson
• Jenny Liscano Henry
• Velia Hernandez
• Samuel Austin Higgins, CPHT
• Allison Glogosh Hill, RPH
• Monica D Hinojosa, F.N.P.
• Quang Hoang
• Tung Van Hoang, MSN, APRN, FNP-C

• All providers in Port Arthur, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.