Individual provider Active NPI

Elizabeth Hernandez, NP

  • Pediatric Nurse Practitioner
  • Brownsville, TX
National Provider Identifier
1598028581
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
709239 Issued in TX
Practice address
191 E Price Rd
Brownsville, TX 78521-3527
Phone
(956) 548-7400
NPI assigned
Jun 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 709239 TX Primary

Addresses

Primary practice location

191 E Price Rd
Brownsville, TX 78521-3527

Mailing address

191 E Price Rd
Brownsville, TX 78521-3527
Phone (956) 548-7400

Other practice location 1

95 E Price Rd
Building F, Ste A
Brownsville, TX 78521-3578
Phone (956) 504-6080

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
I20170417001298 TX Practitioner - Nurse Practitioner 2961788401 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
709239TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brownsville Community Health Clinic Corporation Current Accepting new patients
Brownsville Community Health Clinic Corporation CurrentSince Nov 2, 2021 Accepting new patients

Locations

191 E Price Rd
Brownsville, TX 78521
Phone (956) 548-7400

2137 E 22nd St
Brownsville, TX 78521
Phone (956) 548-7400

Interoperability endpoints

  • Direct secure messaging: elizabeth.hernandez.p1@direct.bchc.nextgenshare.com

Organizations & group practices 2

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": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1598028581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 E PRICE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213527",
            "telephone_number": "956-548-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E PRICE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213527",
            "telephone_number": "956-548-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 E Price Rd",
            "address_2": "Building F, Ste A",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785213578",
            "country_code": "US",
            "telephone_number": "956-504-6080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-24",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "709239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.