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1750049862 NPI number — MICHELLE HERNANDEZ

NPI Number: 1750049862
Health Care Provider/Practitioner: MICHELLE HERNANDEZ

Information about “1750049862” NPI (MICHELLE HERNANDEZ) exists in 1750049862 in HTML format HTML  |  1750049862 in plain Text format TXT  |  1750049862 in PDF (Portable Document Format) PDF  |  1750049862 in an XML format XML  formats.

NPI Number : 1750049862 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750049862",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HERNANDEZ",
    "FirstName": "MICHELLE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MACLEAN",
    "OtherFirstName": "MICHELLE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 168",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CRYSTAL SPRINGS",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39059-0168",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-588-9641",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5901 CROSSLAKE PKWY STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WACO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76712-7010",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "254-300-6964",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/06/2021",
    "LastUpdateDate": "09/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2355S0801X",
          "TaxonomyName": "Speech-Language Assistant",
          "LicenseNumber": "117284",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "117284",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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