Javier Alberto Hernandez

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

1640 Boro PL
MC Lean, VA 22102-3612

Phone

(804) 585-6909

NPI assigned

Mar 30, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1629606116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 NW 89TH ST APT 109",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782366",
            "telephone_number": "786-445-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 BORO PL",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023612",
            "telephone_number": "804-585-6909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11201 NW 89th St Apt 109",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331782366",
            "country_code": "US",
            "telephone_number": "786-445-2024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JAVIER",
        "middle_name": "ALBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H655421722470",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "doral",
            "affiliation": "N",
            "address_1": "11201 NW 89th St Apt 109",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331782366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kendall Hennigan
• Collin McNamara Hensien
• Suzanne D Herbers, MA CCC-SP
• Karina Heredia
• Christian A Hernandez
• Colin Herndon
• William Ryan Herr, DPT
• James Fernando Herrera, M.D.
• Nadia Peritsalis Herrera, PA
• Colleen Hetrick

• Non-emergency Medical Transport (VAN) in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.