Idileimy Nanette Hernandez Barreto, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14548 Issued in TX

Practice address

204 Paloma Dr Ste 110
Temple, TX 76502-2211

Phone

(254) 598-2677

NPI assigned

Nov 2, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Specific Clinic of Chiropractic PLLC

  • Chiropractor
  • Temple, TX
  • NPI 1396372702
  NPD

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1720689292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PALOMA DR STE 110",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765022211",
            "telephone_number": "254-598-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PALOMA DR STE 110",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765022211",
            "telephone_number": "254-598-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ BARRETO",
        "first_name": "IDILEIMY",
        "middle_name": "NANETTE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Heravi, MD
• Christina Herff, LCSW
• Heritage Hearing Centers of Texas
• John Elliott Hermann
• Michael R. Hermans, M.D.
• Edwin Hernandez Caro, MD
• Christina Hernandez, RN
• John Jeremy Hernandez, M.D.
• Mirka Hernandez, DO
• Thomas Herold, M.D.

• Chiropractor in Temple, TX
• Providers in Temple, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.