Individual provider Active NPI

Andrew Joseph Hernandez, MS,RD,LD

  • Registered Dietitian
  • Las Cruces, NM
National Provider Identifier
1740014273
Registry record updated Oct 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
NDP-2023-0078 Issued in NM
Practice address
1241 Hachita Dr
Las Cruces, NM 88012-6266
Phone
(575) 520-6941
NPI assigned
Aug 28, 2024
Last updated
Oct 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NDP-2023-0078 NM Primary

Addresses

Primary practice location

1241 Hachita Dr
Las Cruces, NM 88012-6266

Mailing address

1241 Hachita Dr
Las Cruces, NM 88012-6266
Phone (575) 520-6941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126001433 NM Practitioner - Registered Dietitian Or Nutrition Professional 7416482567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1241 Hachita Dr
Las Cruces, NM 88012-6266
Phone (575) 520-6941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
NDP-2023-0078NMMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Simplified LLC Dietitian, Registered CurrentSince Nov 1, 2024 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Organizations & group practices 2

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": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729382400000",
    "number": "1740014273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 HACHITA DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880126266",
            "telephone_number": "575-520-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 HACHITA DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880126266",
            "telephone_number": "575-520-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "credential": "MS,RD,LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-10-20",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "NDP-2023-0078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.