Individual provider Active NPI

Salvador Hernandez

  • Nurse Practitioner
  • Saint Joseph, MO
National Provider Identifier
1982208716
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2025009025 Issued in MO
Practice address
904 S 10TH St Ste a
Saint Joseph, MO 64503-2400
Phone
(816) 233-4188
NPI assigned
Nov 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2025009025 MO Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

904 S 10TH St Ste a
Saint Joseph, MO 64503-2400

Mailing address

861 Bristol Way
Liberty, MO 64068-3007
Phone (816) 785-9587

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

LicenseStateTypeSpecialty
2025009025MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Social Welfare Board of the County of Buchanan Past Accepting new patients
Social Welfare Board of the County of Buchanan Past Accepting new patients
Family First Center for Autism and Child Development, Inc. PastSince Nov 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: salvador.hernandez.1@25988.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1982208716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 BRISTOL WAY",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683007",
            "telephone_number": "816-785-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 S 10TH ST STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032400",
            "telephone_number": "816-233-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "SALVADOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-23",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2025009025",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.