Individual provider Active NPI

Cristina Michelle Hernandez, B.S.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Maitland, FL
National Provider Identifier
1912559147
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Practice address
2521 Caper LN Apt 101
Maitland, FL 32751-6013
Phone
(407) 421-7266
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

2521 Caper LN Apt 101
Maitland, FL 32751-6013

Mailing address

2521 Caper LN Apt 101
Maitland, FL 32751-6013
Phone (407) 421-7266

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Sendinc.com Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1912559147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 CAPER LN APT 101",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516013",
            "telephone_number": "407-421-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 CAPER LN APT 101",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516013",
            "telephone_number": "407-421-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CRISTINA",
        "middle_name": "MICHELLE",
        "credential": "B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Sendinc.com",
            "affiliation": "N",
            "endpointDescription": "Encrypted email system that is in compliance with HIPPA and more",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2521 Caper Ln Apt 101",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.