Individual provider Active NPI

Erin Kimberly Herndon, M.D.

  • Internal Medicine Physician
  • Clinton, IA
National Provider Identifier
1942294483
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24246 Issued in IA
Practice address
221 Main Ave
Clinton, IA 52732-2241
Phone
(563) 242-7522
Fax
(563) 242-7534
NPI assigned
Sep 9, 2005
Last updated
Apr 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24246 IA Primary

Addresses

Primary practice location

221 Main Ave
Clinton, IA 52732-2241

Mailing address

865 Lincoln Rd
Ste L10
Bettendorf, IA 52722-4190
Phone (563) 355-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200825000122 CA Practitioner - Internal Medicine 7810039666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2411 N Broadway
Arroyo Vista Family Health Center
Los Angeles, CA 90031-2218
Phone (323) 987-2000

4837 Huntington Dr N
Los Angeles, CA 90032-1981
Phone (323) 225-0024

6000 N Figueroa St
Los Angeles, CA 90042-4232
Phone (323) 254-5291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24246IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Arroyo Vista Family Health Foundation CurrentSince May 12, 2020 Accepting new patients
Arroyo Vista Family Health Foundation CurrentSince May 12, 2020 Accepting new patients

Locations

6000 N Figueroa St
Los Angeles, CA 90042
Phone (323) 254-5221

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: erin.herndondo.p1@direct.arroyovista.nextgenshare.com

Organizations & group practices 2

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1942294483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 LINCOLN RD",
            "address_2": "STE L10",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224190",
            "telephone_number": "563-355-9200",
            "fax_number": "563-355-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MAIN AVE",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322241",
            "telephone_number": "563-242-7522",
            "fax_number": "563-242-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "ERIN",
        "middle_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "24246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

Verify at the official NPI Registry.