Individual provider Active NPI

Claudia Hernandez-Tenorio, FNP

  • Family Nurse Practitioner
  • Rockwall, TX
National Provider Identifier
1477310803
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1153795 Issued in TX
Practice address
1975 Alpha Dr
Rockwall, TX 75087-4951
Phone
(214) 294-6218
NPI assigned
Mar 4, 2024
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1153795 TX Primary

Addresses

Primary practice location

1975 Alpha Dr
Rockwall, TX 75087-4951

Mailing address

701 S Nedderman Dr
Arlington, TX 76019-9800

Other names 1

  • Claudia Hernandez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241215000099 TX Practitioner - Nurse Practitioner 3971039884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine and Pain Clinic of TexasGroup PAC ID 6608236823, 3 clinicians

Practice addresses (Care Compare)

3728 Southpark Dr
Suite 200
Tyler, TX 75703-1707
Phone (214) 256-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1153795TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Pain Clinic of Texas CurrentSince Nov 1, 2024 Accepting new patients
Greater Texas Anesthesia Consultants PLLC CurrentSince Apr 1, 2025 Accepting new patients
Matt T. Gubert, PA PastSince Mar 3, 2024 Accepting new patients

Locations

6407 S Cooper St
Ste 117
Arlington, TX 76001
Phone (469) 482-0861

2507 Medical Row
Ste 103
Grand Prairie, TX 75051
Phone (214) 256-3900

1809 W Loop 281
Longview, TX 75604
Phone (214) 256-3900

1809 W Loop 281
Ste 124
Longview, TX 75604
Phone (903) 653-1824

400 Chisholm Pl
Ste 114
Plano, TX 75075
Phone (972) 588-4541

6300 Stonewood Dr
Ste 206
Plano, TX 75024
Phone (972) 769-8700

3728 Southpark Dr
Ste 200
Tyler, TX 75703
Phone (903) 525-9397

Organizations & group practices 3

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": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1477310803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S NEDDERMAN DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760199800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 ALPHA DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874951",
            "telephone_number": "214-294-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-TENORIO",
        "first_name": "CLAUDIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1153795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDIA",
            "last_name": "HERNANDEZ",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.