Active NPI
Daniel R Hernandez
- Speech-Language Pathologist
- Cedar Park, TX
National Provider Identifier
1639402993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 103533
- Practice address
- 1103 Cypress Creek Rd
Suite 103
Cedar Park, TX 78613-3924 - Phone
- (512) 918-0044
- Fax
- (512) 918-0045
- NPI assigned
- Sep 17, 2009
- Last updated
- Jan 8, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 103533 | TX | Primary |
Addresses
Primary practice location
1103 Cypress Creek Rd
Suite 103
Cedar Park, TX 78613-3924
Mailing address
1103 Cypress Creek Rd
Suite 103
Cedar Park, TX 78613-3924
Phone (512) 918-0044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103533 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262908800000",
"number": "1639402993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 CYPRESS CREEK RD",
"address_2": "SUITE 103",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786133924",
"telephone_number": "512-918-0044",
"fax_number": "512-918-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 CYPRESS CREEK RD",
"address_2": "SUITE 103",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786133924",
"telephone_number": "512-918-0044",
"fax_number": "512-918-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "DANIEL",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-17",
"last_updated": "2010-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "103533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.