Active NPI
Erin Nicole Herrmann, PA-C
- Physician Assistant
- Keller, TX
National Provider Identifier
1306237805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA09664
- Practice address
- 651 S Main St
Suite 105
Keller, TX 76248-7038 - Phone
- (817) 741-0800
- Fax
- (817) 741-0805
- NPI assigned
- Feb 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TX | ||
| Physician Assistant | 363A00000X | PA09664 | TX | Primary |
Addresses
Primary practice location
651 S Main St
Suite 105
Keller, TX 76248-7038
Mailing address
651 S Main St
Suite 105
Keller, TX 76248-7038
Phone (817) 741-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Texas Southwestern Medical School at Dallas, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Lipscomb St
Suite 110
Fort Worth, TX 76104-3181
Phone (817) 348-8600
651 S Main St
Suite 105
Keller, TX 76248-7037
Phone (817) 348-8600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA09664 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ved V Aggarwal MD PA | Current | Accepting new patients | |
| Ved V Aggarwal MD PA | Current | Accepting new patients |
Locations
1000 Lipscomb St
Ste 110
Ft Worth, TX 76104
651 S Main St
Ste 105
Keller, TX 76248
Phone (817) 741-0800
Organizations & group practices 2
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.
-
- Interventional Pain Medicine Physician
- Fort Worth, TX
- NPI 1053315382
-
- Interventional Pain Medicine Physician
- Keller, TX
- NPI 1780617613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1306237805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 S MAIN ST",
"address_2": "SUITE 105",
"city": "KELLER",
"state": "TX",
"postal_code": "762487038",
"telephone_number": "817-741-0800",
"fax_number": "817-741-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 S MAIN ST",
"address_2": "SUITE 105",
"city": "KELLER",
"state": "TX",
"postal_code": "762487038",
"telephone_number": "817-741-0800",
"fax_number": "817-741-0805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRMANN",
"first_name": "ERIN",
"middle_name": "NICOLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-05",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA09664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.