Individual provider Active NPI

Veronica Alexandria Hernandez

  • Family Nurse Practitioner
  • Porterville, CA
National Provider Identifier
1952032161
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021267 Issued in CA
Practice address
590 W Putnam Ave
Porterville, CA 93257-3257
Phone
(559) 920-7053
NPI assigned
Jun 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95021267 CA Primary

Addresses

Primary practice location

590 W Putnam Ave
Porterville, CA 93257-3257

Mailing address

20552 Road 228 # B
Lindsay, CA 93247-9573

Other practice location 1

20552 Road 228 # B
Lindsay, CA 93247-9573
Phone (559) 920-7053

Other names 1

  • Veronica Alexandria Millan Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230222000503 CA Order and Referring Only - Nurse Practitioner 3678946670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95021267CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1952032161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20552 ROAD 228 # B",
            "city": "LINDSAY",
            "state": "CA",
            "postal_code": "932479573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573257",
            "telephone_number": "559-920-7053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20552 Road 228 # B",
            "address_purpose": "LOCATION",
            "city": "Lindsay",
            "state": "CA",
            "postal_code": "932479573",
            "country_code": "US",
            "telephone_number": "559-920-7053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "VERONICA",
        "middle_name": "ALEXANDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "MILLAN",
            "middle_name": "ALEXANDRIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.