Active NPI
Tammy W Hernandez
- General Practice Registered Nurse
- Kissimmee, FL
National Provider Identifier
1831860543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- RN9194518
- Practice address
- 2275 Fortune Rd
Kissimmee, FL 34744-4404 - Phone
- (407) 201-5179
- Fax
- (407) 624-5905
- NPI assigned
- Sep 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Support Registered Nurse | 163WN1003X | RN9194518 | FL | |
| General Practice Registered Nurse | 163WG0000X | RN9194518 | FL | Primary |
Addresses
Primary practice location
2275 Fortune Rd
Kissimmee, FL 34744-4404
Mailing address
2322 Lily Pad LN
Kissimmee, FL 34743-3993
Phone (617) 888-2546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9194518 | FL | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lets Be Different Inc | General Practice | Current | Accepting new patients |
Locations
2275 Fortune Rd
Kissimmee, FL 34744
Phone (407) 201-5179
2326 Fortune Rd
Kissimmee, FL 34744
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1831860543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2322 LILY PAD LN",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347433993",
"telephone_number": "617-888-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 FORTUNE RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444404",
"telephone_number": "407-201-5179",
"fax_number": "407-624-5905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "TAMMY",
"middle_name": "W",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-22",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WN1003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nutrition Support",
"state": "FL",
"license": "RN9194518",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "FL",
"license": "RN9194518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.