Amy Hernandez, RN

Primary specialty

Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X

License

28176452A Issued in IN

Practice address

52565 In 933
South Bend, IN 46637

Phone

(574) 213-5699

NPI assigned

Jul 9, 2021

Last updated

Jul 9, 2021By the provider in NPPES

Sex

Female

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1558932699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 WOODMONT DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52565 IN 933",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46637",
            "telephone_number": "574-213-5699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2402 South St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479043063",
            "country_code": "US",
            "telephone_number": "765-588-4103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "269 Meadowview Dr",
            "address_purpose": "LOCATION",
            "city": "Peru",
            "state": "IN",
            "postal_code": "469708996",
            "country_code": "US",
            "telephone_number": "765-460-2173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 S Creasy Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479054911",
            "country_code": "US",
            "telephone_number": "765-607-6329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 Woodbridge Ave",
            "address_purpose": "LOCATION",
            "city": "Logansport",
            "state": "IN",
            "postal_code": "469471661",
            "country_code": "US",
            "telephone_number": "574-516-6886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "AMY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SL0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "IN",
            "license": "28176452A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee L Hensley, PT
• Marcy L Herbert, RD
• Greg Alan Herbster, D.M.D.
• Erin Magdalena Herbstova, DO
• Angela C Herman, MD
• Christine Herod, MA
• Pamela Herrera
• Mark Philip Herriman, PHARMD
• Krista Herrygers, PA-C
• Kent A Hershberger, HSPP

• Clinical Nurse Specialist in South Bend, IN
• Providers in South Bend, IN by specialty
• Clinical Nurse Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.