Individual provider Active NPI

Joanna Hernandez, DNP, RN, AGACNP-BC

  • Gerontology Nurse Practitioner
  • Warren, MI
National Provider Identifier
1548622251
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704270939 Issued in MI
Practice address
28573 Schoenherr Rd
Warren, MI 48088-4330
Phone
(586) 777-3375
Fax
(586) 777-3380
NPI assigned
Mar 22, 2016
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704270939 MI
Adult Health Nurse Practitioner 363LA2200X 4704270939 MI
Gerontology Nurse Practitioner 363LG0600X 4704270939 MI Primary

Addresses

Primary practice location

28573 Schoenherr Rd
Warren, MI 48088-4330

Mailing address

39349 Cadborough Dr
Clinton Township, MI 48038-2748
Phone (248) 561-0693

Other practice location 1

39349 Cadborough Dr
Clinton Township, MI 48038-2748
Phone (248) 561-0693

Other practice location 2

22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000

Other names 1

  • Joanna Turner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160912002107 MI Practitioner - Nurse Practitioner 2264728583 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeside Neurology P CGroup PAC ID 0648233353, 2 clinicians

Practice addresses (Care Compare)

28573 Schoenherr Rd
Warren, MI 48088-4330
Phone (586) 777-3375

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704270939MIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Jul 31, 2016 Accepting new patients
Emergency Department Physicians, P.C. CurrentSince Nov 1, 2019 Accepting new patients
Observation Emergency Physicians, P.C. CurrentSince Nov 1, 2019 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jul 31, 2016 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Lakeside Neurology P C CurrentSince Sep 11, 2023 Accepting new patients
Allergy Clinic of Warren PC PastSince Sep 11, 2023 Accepting new patients

Locations

30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

28573 Schoenherr Rd
Warren, MI 48088
Phone (586) 558-5700

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1548622251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39349 CADBOROUGH DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480382748",
            "telephone_number": "248-561-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28573 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884330",
            "telephone_number": "586-777-3375",
            "fax_number": "586-777-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39349 Cadborough Dr",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480382748",
            "country_code": "US",
            "telephone_number": "248-561-0693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22101 Moross Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482362148",
            "country_code": "US",
            "telephone_number": "313-343-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JOANNA",
        "credential": "DNP, RN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704270939",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704270939",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704270939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "TURNER",
            "credential": "DNP, RN, AGACNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.