Active NPI
Jeanette Hernandez, APRN, MW, RN
- Family Nurse Practitioner
- Clearwater, FL
National Provider Identifier
1841741790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11019069
- Practice address
- 2665 State Road 580
Clearwater, FL 33761-3166 - Phone
- (727) 725-5121
- Fax
- (877) 409-1379
- NPI assigned
- Oct 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11019069 | FL | Primary |
Addresses
Primary practice location
2665 State Road 580
Clearwater, FL 33761-3166
Mailing address
PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033
Other practice location 1
1601 Town Center Circle
Weston, FL 33326-3636
Phone (954) 507-4494
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11019069 | FL | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Class OBGYN PA | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15759/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Miramar, FL
- NPI 1003280546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1841741790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748817",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748817",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2665 STATE ROAD 580",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337613166",
"telephone_number": "727-725-5121",
"fax_number": "877-409-1379"
}
],
"practiceLocations": [
{
"address_1": "1601 Town Center Circle",
"address_purpose": "LOCATION",
"city": "Weston",
"state": "FL",
"postal_code": "333263636",
"country_code": "US",
"telephone_number": "954-507-4494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "JEANETTE",
"credential": "APRN, MW, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-16",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11019069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.