Diana P Hernandez, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

7015 29TH PL
Berwyn, IL 60402-2941

Phone

(708) 829-4395

NPI assigned

Apr 19, 2023

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1750078796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 29TH PL",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022941",
            "telephone_number": "708-829-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 29TH PL",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022941",
            "telephone_number": "708-829-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "DIANA",
        "middle_name": "P",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hegewisch Spine Pain Center LLC
• Kenneth Heinrich, M.D.
• Marta Herda, MD
• Josette Heredia-Carmona, LCSW
• Arturo Hernandez, PA-C
• Gerardo Andres Hernandez, RDN
• Gisel Hernandez, SLP
• Joana Hernandez
• Jorge Alejandro Hernandez, PHYSICIAN ASSISTANT
• Kristien Ariel Hernandez

• Speech-Language Pathologist in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.