Individual provider Active NPI

Sandra Hernandez, B.S.,SLPA

  • Speech-Language Pathologist
  • Oklahoma City, OK
National Provider Identifier
1902309115
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5579 Issued in OK
Practice address
2401 NW 23Rd St Ste 2D
Oklahoma City, OK 73107-2420
Phone
(405) 355-3239
NPI assigned
Mar 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 2016020593 MO
Speech-Language Pathologist 235Z00000X 5579 OK Primary

Addresses

Primary practice location

2401 NW 23Rd St Ste 2D
Oklahoma City, OK 73107-2420

Mailing address

4334 NW Expressway Ste 187
Oklahoma City, OK 73116-1515
Phone (314) 216-1966

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
5579OKMDPediatric Occupational Therapist
2016020593MOMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bilingual Pediatric Therapies, Inc. CurrentSince Aug 13, 2023 Accepting new patients
Sensory Solutions, LLC Speech-Language Pathologist Past Accepting new patients
Shepherd Mall Therapy LLC PastSince Jun 6, 2021 Accepting new patients

Locations

2401 NW 23rd St
Ste 2D
Oklahoma City, OK 73107
Phone (323) 940-5355

Organizations & group practices 3

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": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1902309115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 NW EXPRESSWAY STE 187",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161515",
            "telephone_number": "314-216-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 NW 23RD ST STE 2D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072420",
            "telephone_number": "405-355-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "SANDRA",
        "credential": "B.S.,SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "MO",
            "license": "2016020593",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "5579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.