Active NPI
Sheila Hernandez-Lee, FNP
- Nurse Practitioner
- Modesto, CA
National Provider Identifier
1609859008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- FNP13624
- Practice address
- 1114 6TH St
Modesto, CA 95354-2203 - Phone
- (209) 576-2845
- Fax
- (209) 576-8842
- NPI assigned
- Nov 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | FNP13624 | CA | Primary |
Addresses
Primary practice location
1114 6TH St
Modesto, CA 95354-2203
Mailing address
737 W Childs Ave
Merced, CA 95340-6805
Phone (209) 383-1848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F1102073 | Other | CA | AANP CERT # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180316001814 | CA | Order and Referring Only - Nurse Practitioner | 3577466572 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13624 | CA | MD | Speech-Language Pathologist |
| FNP13624 | CA | MD | Nurse Practitioner |
Interoperability endpoints
- sheilamae.hernandezlee.p1@direct.cmcentersinc.nextgenshare.com
- sheila.hernandez.1@33563.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1609859008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 W CHILDS AVE",
"city": "MERCED",
"state": "CA",
"postal_code": "953406805",
"telephone_number": "209-383-1848",
"fax_number": "209-383-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 6TH ST",
"city": "MODESTO",
"state": "CA",
"postal_code": "953542203",
"telephone_number": "209-576-2845",
"fax_number": "209-576-8842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ-LEE",
"first_name": "SHEILA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "FNP13624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP CERT #",
"identifier": "F1102073",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.