Ricardo Fernandez, BSN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

619992 Issued in TX

Practice address

11335 SSG Sims St
Fort Bliss, TX 79918-8033

Phone

(915) 742-1062

NPI assigned

Dec 4, 2024

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1265248330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 MCLEAN ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799361718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11335 SSG SIMS ST",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "799188033",
            "telephone_number": "915-742-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "RICARDO",
        "credential": "BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "619992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Esquivel, OTR, CHT
• Adrian Clint Estrada
• John Troy Evans, PA-C
• Ricardo E Fabrega, MD
• Eric Fellin, DO
• Cecilia Fierro, ATC
• Larry Brian Fisher, DMD
• Paul William Fleenor, DO
• Kimberly Fletcher, DO
• Cristina Flores, L.C.S.W.

• Case Management Registered Nurse in Fort Bliss, TX
• Providers in Fort Bliss, TX by specialty
• Case Management Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.