Davia Jennifer Hersh, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

11025062 Issued in FL

Practice address

14530 SW 20TH St
Davie, FL 33325-4933

Phone

(860) 989-0977

NPI assigned

Apr 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Davia Haynes Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dhersh3076110@direct.trinity-health.org

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.

• Regenerative Sports Medicine, LLC

  • General Practice Physician
  • Sunrise, FL
  • NPI 1548973431
  Medicare reassignment NPD
• Valentine Family Chiropractic, LLC

  • Chiropractor
  • Sunrise, FL
  • NPI 1174000491
  NPD

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1679269344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14530 SW 20TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333254933",
            "telephone_number": "860-989-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14530 SW 20TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333254933",
            "telephone_number": "860-989-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSH",
        "first_name": "DAVIA",
        "middle_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11025062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVIA",
            "last_name": "HAYNES",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Merly Herrera
• Stephany Herrera
• Brianna Herring
• Samantha Rae Herrmann
• Pablo Herscovici, M.D.
• Valerie Herskowitz, MA
• Elizabeth Jade Hester
• Jennifer Hevia
• Ocnay Hidalgo Gato Borroto
• Jane Hidalgo, LDO

• Adult Health Nurse Practitioner in Davie, FL
• Providers in Davie, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.