Mary Kathleen Herrera, FNPC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP6695 Issued in CA

Practice address

23823 Valencia Blvd
Suite 160
Valencia, CA 91355-9512

Phone

(661) 254-0026

Fax

(661) 254-1773

NPI assigned

Mar 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dennis Patrick Lewis,MD,

  • Family Medicine Physician
  • Valencia, CA
  • NPI 1710183140
  Medicare reassignment NPD
• Jones & Jones Medical Associates Inc.

  • Family Medicine Physician
  • Apple Valley, CA
  • NPI 1790875466
  NPD (past)

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

{
    "created_epoch": "1299888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1962700104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD",
            "address_2": "SUITE 160",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913559512",
            "telephone_number": "661-254-0026",
            "fax_number": "661-254-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD",
            "address_2": "SUITE 160",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913559512",
            "telephone_number": "661-254-0026",
            "fax_number": "661-254-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "FNPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-12",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP6695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocceline Melissa Hernandez, MS, RD
• Krystal Alix Hernandez, OTR/L
• Myranda Ruby Hernandez, M.S. CCC-SLP
• Samantha Hernandez
• Sara Lynn Hernandez, LCSW
• Nidfel Neretva Herrera, NMD, PA-C
• Herta Chiropractic Inc. (Aligned Health Chiropractic & Wellness Center)
• Kelly L. Herta, D.C.
• Erin Hickman
• Stacey Nicole Highsmith

• Family Nurse Practitioner in Valencia, CA
• Providers in Valencia, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.