JACLYN HERNANDEZ
NPI 1861171910
Speech-Language Pathologist in Midlothian, VA

Active since July 17, 2023
14700 VILLAGE SQUARE PL, MIDLOTHIAN, VA 23112(434) 481-3524 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 3, 2025, Jul 17, 2023 (2 updates tracked since 2023).

About Jaclyn Hernandez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN HERNANDEZ (NPI 1861171910) is an individual speech-language pathologist provider in Midlothian, Virginia, licensed in Virginia (2202011348) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1861171910
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJACLYN HERNANDEZ
Location Address14700 VILLAGE SQUARE PLMidlothian, VA 23112-2253
Mailing Address3491 Kilburn Cir Apt 2413Henrico, VA 23233-1175 · (561) 758-2451
Sole ProprietorNo
Enumeration DateJuly 17, 2023
Last NPPES UpdateJuly 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1861171910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in VA · 2202011348
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
14700 VILLAGE SQUARE PL, Midlothian, VA 23112

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Hernandez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jaclyn Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Speech-Language Pathologist
524 E MAIN ST STE 200
Riverhead, NY 11901
  • Reassigned Medicare billing, Virginia enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
14700 VILLAGE SQUARE PL
MIDLOTHIAN, VA 23112
Physical Therapist
14700 VILLAGE SQUARE PL
MIDLOTHIAN, VA 23112
Counselor
14700 VILLAGE SQUARE PL
MIDLOTHIAN, VA 23112
Occupational Therapist (Pediatrics)
14700 VILLAGE SQUARE PL
MIDLOTHIAN, VA 23112
Speech-Language Pathologist
14700 VILLAGE SQUARE PL
MIDLOTHIAN, VA 23112
Physical Therapist
14700 VILLAGE SQUARE PL
MIDLOTHIAN, VA 23112
Counselor (Professional)
14700 VILLAGE SQUARE PL
MIDLOTHIAN, VA 23112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Hernandez's NPI number?

The NPI number for Jaclyn Hernandez is 1861171910. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Where is Jaclyn Hernandez located?

Jaclyn Hernandez practices at 14700 Village Square Pl, Midlothian, VA 23112. The listed phone number is (434) 481-3524.

What is Jaclyn Hernandez's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jaclyn Hernandez enrolled in Medicare?

Yes. Jaclyn Hernandez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaclyn Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Hernandez reassigns Medicare benefits to Speech Therapy For All PC (Riverhead, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaclyn Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jaclyn Hernandez was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.