Active NPI
Martha Hernandez, PA-C
- Pediatrics Physician
- Palmetto, FL
National Provider Identifier
1669873675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- PA9108017
- Practice address
- 218 9TH Street Dr W
Palmetto, FL 34221-4802 - Phone
- (941) 721-3900
- NPI assigned
- Sep 9, 2014
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | PA9108017 | FL | Primary |
Addresses
Primary practice location
218 9TH Street Dr W
Palmetto, FL 34221-4802
Mailing address
218 9TH Street Dr W
Palmetto, FL 34221-4802
Phone (941) 721-3900
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9108017 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shreeji Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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": "1410220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1669873675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 9TH STREET DR W",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342214802",
"telephone_number": "941-721-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 9TH STREET DR W",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342214802",
"telephone_number": "941-721-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MARTHA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-09",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "PA9108017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmetto, FL
- Kimberly D Hayes, RDH
- HCA Health Services of Florida, Inc. (HCA Florida Palmetto Emergency, a department of HCA Florida Blake Hospital)
- Heidi Hein
- Helpful Beginnings LLC
- Kristin Dye Herbeck, A.P.
- David Preston Heuberger, MPT
- Raechel Lynn Hills, APRN
- Tonya Ann Hinds, COTA
- Hjcsquared, LLC (Harbor Chiropractic)
- Clinton Douglas Holder, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.