Emerald Medical Services, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

EMERALD MEDICAL SERVICES, LLC

Practice address

2345 Park Ridge LN
Eugene, OR 97405-1729

Phone

(541) 556-5709

NPI assigned

Nov 21, 2023

Organization subpart

No

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

Authorized official

Name

Anthony Hernandez, FNP

Title

Owner

Phone

(541) 556-5709

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1427823293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 PARK RIDGE LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974051729",
            "telephone_number": "541-556-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 PARK RIDGE LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974051729",
            "telephone_number": "541-556-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-556-5709",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083130058",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Eugene, OR
• Providers in Eugene, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.