Individual provider Active NPI

Joaquin Hernandez, APRN-FNP

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1932565355
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030183 Issued in FL
Practice address
801 Anchor Rode Dr
106
Naples, FL 34103-2751
Phone
(786) 302-8236
NPI assigned
Jan 14, 2016
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Family Nurse Practitioner 363LF0000X 11030183 FL Primary

Addresses

Primary practice location

801 Anchor Rode Dr
106
Naples, FL 34103-2751

Mailing address

801 Anchor Rode Dr
106
Naples, FL 34103-2751
Phone (786) 302-8236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411000070 FL Practitioner - Nurse Practitioner 8921096876 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11030183FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Raton Outpatient Surgery & Laser Center LTD CurrentSince Feb 27, 2024 Accepting new patients
Assistance Solution Corp. Current Accepting new patients
Sage Center for Integrative Wellness LLC Current Accepting new patients
Boca Raton Regional Hospital, Inc. CurrentSince Feb 27, 2024 Accepting new patients
Ada Medical Group Inc PastSince Dec 27, 2003 Accepting new patients
Horizon Advancement Center, Inc Past Accepting new patients

Locations

160 W Camino Real
Boca Raton, FL 33432
Phone (203) 568-6064

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1932565355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ANCHOR RODE DR",
            "address_2": "106",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032751",
            "telephone_number": "786-302-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ANCHOR RODE DR",
            "address_2": "106",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032751",
            "telephone_number": "786-302-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JOAQUIN",
        "credential": "APRN-FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-14",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.