Individual provider Active NPI

Tiffany Hernandez, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1568166452
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1113825 Issued in TX
Practice address
1551 Montana Ave
El Paso, TX 79902-5668
Phone
(915) 747-3510
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1113825 TX Primary

Addresses

Primary practice location

1551 Montana Ave
El Paso, TX 79902-5668

Mailing address

PO Box 9242
El Paso, TX 79995-9242

Other practice location 1

2400 Trawood Dr
El Paso, TX 79936-4168
Phone (915) 599-6735

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
I20230724002979 TX Practitioner - Nurse Practitioner 5991165847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Paso Community MHMRGroup PAC ID 3476532383, 54 clinicians

Practice addresses (Care Compare)

1551 Montana Ave
El Paso, TX 79902-5668
Phone (915) 887-3410

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113825TXMDOccupational Therapist
1113825TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Community MHMR CurrentSince Jul 10, 2023 Accepting new patients
El Paso Community MHMR CurrentSince Jul 10, 2023 Accepting new patients
El Paso Community MHMR Current Accepting new patients

Locations

1551 Montana Ave
El Paso, TX 79902
Phone (915) 747-3510

201 E Main Dr
Ste 600
El Paso, TX 79901
Phone (915) 887-3419

1601 E Yandell Dr
El Paso, TX 79902
Phone (915) 599-4900

10737 Gateway Blvd W
Ste 350
El Paso, TX 79935

1477 Lomaland Dr
Ste E7
El Paso, TX 79935
Phone (915) 599-6690

8500 Boeing Dr
El Paso, TX 79925
Phone (915) 242-0555

2400 Trawood Dr
Ste 301
El Paso, TX 79936
Phone (915) 599-6735

10737 Gateway Blvd W
Ste 250
El Paso, TX 79935
Phone (915) 319-9488

1600 Montana Ave
El Paso, TX 79902
Phone (915) 877-3410

725 S Mesa Hills Dr
Bldg 1
El Paso, TX 79912
Phone (915) 228-8128

8730 Boeing Dr
El Paso, TX 79925
Phone (915) 599-6600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1568166452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9242",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799959242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025668",
            "telephone_number": "915-747-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Trawood Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799364168",
            "country_code": "US",
            "telephone_number": "915-599-6735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "TIFFANY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1113825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.