Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lourdes Chacon Hernandez

Individual provider Registered Nurse · NPI 1265998801

Lourdes Chacon Hernandez is a Nurse Practitioner in Hollywood, Florida. Qualified in 2022, 4 years ago. Practices with South Broward Hospital District, a 665-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2019
Specialties on file
4
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Practice location Address checks out

3501 Johnson St Fl 1
Hollywood, FL 33021-5421
Phone: (954) 265-4325
Fax: (954) 450-4422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11024442 (FL)
Registered Nurse Taxonomy 163W00000X · Licence RN9551811 (FL)
Behavior Technician Taxonomy 106S00000X · Licence RBT-18-70812 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 11024442 (FL)

Record details

NPI number1265998801
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 19, 2019
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing address2900 Corporate Way # D, Miramar, FL 33025-3925

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice South Broward Hospital District — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hollywood