Elaine Hernandez

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1325-033 Issued in WI

Practice address

Brooke Army Medical Center
3551 Roger Brooke Road
Fort Sam Houston, TX 78234-4504

Phone

(210) 916-8400

NPI assigned

Jun 4, 2007

Last updated

May 13, 2024By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Living Alliance

  • In Home Supportive Care Agency
  • Madison, WI
  • NPI 1922559756
  NPD (past)
• Community Living Alliance, Inc.

  • Case Management Agency
  • Madison, WI
  • NPI 1669689337
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1841492600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 NEAL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141234",
            "telephone_number": "608-381-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROOKE ARMY MEDICAL CENTER",
            "address_2": "3551 ROGER BROOKE ROAD",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 W Kinnickinnic River Pkwy",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532153677",
            "country_code": "US",
            "telephone_number": "414-649-3750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ELAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "1325-033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10004769",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Hennemann, MD
• Penelope Anne Herder, DO
• Amanda Marie Hernandez, LCSW, LCDC
• Blanca Nellie Hernandez
• Debra Rene Hernandez, R.D.
• Nimsi Hernandez, HOSPITAL CORPSMAN
• Jacob Hess, DO
• Sherry Marchand Hess, PHD
• Deirdre Flynn Hester, MD
• William Craig Hewitson, M.D.

• Nurse Practitioner in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.