Individual provider Active NPI

Lasharon Hernandez, APRN PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bethany, CT
National Provider Identifier
1669046926
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12360 Issued in CT
Practice address
649 Amity Rd
Bethany, CT 06524-3091
Phone
(475) 262-9608
Fax
(475) 275-7247
NPI assigned
May 19, 2021
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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 12360 CT Primary

Addresses

Primary practice location

649 Amity Rd
Bethany, CT 06524-3091

Mailing address

649 Amity Rd
Bethany, CT 06524-3091
Phone (475) 262-9608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20231114000593 CT Practitioner - Nurse Practitioner 4981051901 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12360CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeler Clinic Inc CurrentSince Jan 11, 2024 Accepting new patients
Wheeler Clinic Inc CurrentSince Jan 11, 2024 Accepting new patients
Resilient Mind Behavioral Health PLLC Psychiatric/Mental Health CurrentSince Nov 24, 2025 Accepting new patients

Locations

649 Amity Rd
Bethany, CT 06524
Phone (203) 206-3316

91 Northwest Dr
Plainville, CT 06062
Phone (860) 793-3871

855 Lakewood Rd
Waterbury, CT 06704
Phone (203) 597-1906

Interoperability endpoints

  • Direct secure messaging: lasharon.hernandez.p1@direct.wheelerclinic.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1669046926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 AMITY RD",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243091",
            "telephone_number": "475-262-9608",
            "fax_number": "475-275-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 AMITY RD",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243091",
            "telephone_number": "475-262-9608",
            "fax_number": "475-275-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LASHARON",
        "credential": "APRN PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, CT

Sources for this page

Verify at the official NPI Registry.