Active NPI
Keyla N/a Hernandez Carrillo
- Behavior Technician
- Tampa, FL
National Provider Identifier
1932965100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 23-316263
- Practice address
- 8204 Pennywell PL
Tampa, FL 33615-1625 - Phone
- (813) 593-6710
- NPI assigned
- Feb 26, 2024
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 23-316263 | FL | Primary |
Addresses
Primary practice location
8204 Pennywell PL
Tampa, FL 33615-1625
Mailing address
350 E Bloomingdale Ave
Brandon, FL 33511-8155
Phone (813) 655-8159
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23-316263 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1932965100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 E BLOOMINGDALE AVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "335118155",
"telephone_number": "813-655-8159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8204 PENNYWELL PL",
"city": "TAMPA",
"state": "FL",
"postal_code": "336151625",
"telephone_number": "813-593-6710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ CARRILLO",
"first_name": "KEYLA",
"middle_name": "N/A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "23-316263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
- Ruth Elizabet Hernandez Benitez
- Paula Michelle Hernandez Burgos
- Guadalupe Massiel Hernandez Cantallops
- Amarys Aimee Hernandez Caro
- Ismara Hernandez Carrazana, APRN
- Letcia Hernandez de la Rosa
- Jesus Elias Hernandez Diaz
- David Hernandez Echazabal, PA
- Carolina De Lourdes Hernandez Eguez, M.D.
- Enalbis Hernandez Fabre
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.