Jesus Mariano Hernandez, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2014037644 Issued in MO

Practice address

2001 S Hanley Rd Ste 540
Saint Louis, MO 63144-1500

Phone

(314) 623-9904

NPI assigned

Oct 12, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1477064830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S HANLEY RD STE 540",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441500",
            "telephone_number": "314-623-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S HANLEY RD STE 540",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441500",
            "telephone_number": "314-623-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JESUS",
        "middle_name": "MARIANO",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2014037644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Erasto Hernandez, DMD
• Aylin Hernandez, M.A., LPC
• Dagmara Hernandez
• Deborah Hernandez, LMT
• Guillermo Eloy Hernandez, D.C.
• Jhoayra Hernandez
• Meghan Hernandez, DO
• Patricia Vanessa Hernandez, MD
• Nathanael Maxwell Herndier, DO
• Kenlea Elizabeth Herndon

• Registered Dietitian in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.