Annette Hernandez

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

1548739378 Issued in FL

Practice address

201 Park Place Blvd
Kissimmee, FL 34741-2345

Phone

(800) 378-7597

Fax

(877) 399-5578

NPI assigned

Nov 21, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• First Step Therapy, LLC

  • Clinic/Center
  • Kissimmee, FL
  • NPI 1831420033

  Early Intervention Provider Agency

  NPD (past)

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1548739378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 MUZANO ST APT B212",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347410969",
            "telephone_number": "407-729-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARK PLACE BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412345",
            "telephone_number": "800-378-7597",
            "fax_number": "877-399-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "1548739378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Jose Hernandez Rodriguez
• Carmen Janiselle Hernandez Zengotita, PHARMD
• Alanis Hernandez
• Alexandra Hernandez
• Angie Elena Hernandez
• Arlene Hernandez
• Ashley Jade Hernandez
• Azmath Fatima Hernandez
• Biviana Zoe Hernandez, COTA/L
• Brunilda Hernandez, APRN

• Early Intervention Provider Agency in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.