Individual provider Active NPI

Ivette Hernandez

  • Speech-Language Pathologist
  • Cypress, TX
National Provider Identifier
1477178358
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
116795 Issued in TX
Practice address
16341 Mueschke Rd Ste 150
Cypress, TX 77433-5218
Phone
(832) 334-5194
NPI assigned
Jun 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 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 116795 TX Primary

Addresses

Primary practice location

16341 Mueschke Rd Ste 150
Cypress, TX 77433-5218

Mailing address

2926 Barker Cypress Rd Apt 5211
Houston, TX 77084-7939
Phone (713) 598-1566

Other practice location 1

2926 Barker Cypress Rd Apt 5211
Houston, TX 77084-7939
Phone (713) 598-1566

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
116795TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Blooming Minds Therapy CurrentSince Oct 6, 2024 Accepting new patients
Cole Health, Inc. PastSince Oct 6, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1477178358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 BARKER CYPRESS RD APT 5211",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847939",
            "telephone_number": "713-598-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16341 MUESCHKE RD STE 150",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335218",
            "telephone_number": "832-334-5194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2926 Barker Cypress Rd Apt 5211",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770847939",
            "country_code": "US",
            "telephone_number": "713-598-1566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "IVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.