Individual provider Active NPI

Elizabeth Ann Fairman-Hoffman, R.N., C.N.M., M.S.

  • Advanced Practice Midwife
  • Fort Worth, TX
National Provider Identifier
1316958911
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
236308 Issued in TX
Practice address
1050 S. 5TH Ave
Suite K
Fort Worth, TX 76104
Phone
(817) 332-6696
Fax
(817) 332-6616
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 236308 TX Primary

Addresses

Primary practice location

1050 S. 5TH Ave
Suite K
Fort Worth, TX 76104

Mailing address

PO Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
236308TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance OB GYN Specialists PLLC Past Accepting new patients
Texas Health Care, P.L.L.C. Advanced Practice Midwife Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6694/brand/1/csg/1/fhir/r4
  • Direct secure messaging: efairmanhoffman71840@direct.phhs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1316958911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761611205",
            "telephone_number": "817-740-8400",
            "fax_number": "817-378-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 S. 5TH AVE",
            "address_2": "SUITE K",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-332-6696",
            "fax_number": "817-332-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRMAN-HOFFMAN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "R.N., C.N.M., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "236308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.