Maureen Hernandez, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17-01940 Issued in KS

Practice address

3400 S 4TH Trafficway
Suite C
Leavenworth, KS 66048-5012

Phone

(913) 651-1000

Fax

(913) 651-3030

NPI assigned

May 15, 2007

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 identifiers 1

Other names 1

• Maureen Carney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nurturing Families, Inc.

  • Speech-Language Pathologist
  • Leavenworth, KS
  • NPI 1508935313
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801002712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660480188",
            "telephone_number": "913-651-1000",
            "fax_number": "913-651-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 S 4TH TRAFFICWAY",
            "address_2": "SUITE C",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485012",
            "telephone_number": "913-651-1000",
            "fax_number": "913-651-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MAUREEN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-01940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "013843",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "CARNEY",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rose Henry
• Marilyn Alice Henshaw
• Molly Henson
• Christina Caywood Herbers, LMLP
• Adam Paul Herl
• Barton Todd Herndon, SOCIAL WORKER
• Jessica Herrick
• Sarah Herring, RN
• Deborah Lynn Heskett, RN
• CJ-Matthew Hess

• All providers in Leavenworth, KS
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.