Individual provider Active NPI

Erin Elizabeth Fernandez, MS, ATC, LAT

  • Specialist
  • Friendswood, TX
National Provider Identifier
1710068911
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AT3312 Issued in TX
Practice address
16811 Kings Chapel CT
Friendswood, TX 77546-2339
Phone
(832) 724-4613
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 080402485 IN
Sports Medicine (Preventive Medicine) Physician 2083S0010X AT3312 TX
Specialist 174400000X AT3312 TX Primary

Addresses

Primary practice location

16811 Kings Chapel CT
Friendswood, TX 77546-2339

Mailing address

4025 Burke Rd Apt 1214
Pasadena, TX 77504-3480
Phone (713) 477-3601

Other identifiers 2

IdentifierTypeStateIssuer
080402485OtherNATA CERTIFICATION
AT3312OtherTXATHLETIC TRAINING

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
080402485INMDSpecialist
AT3312TXMDSports Medicine (Preventive Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1710068911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 BURKE RD APT 1214",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043480",
            "telephone_number": "713-477-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16811 KINGS CHAPEL CT",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775462339",
            "telephone_number": "832-724-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "080402485",
            "primary": false
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "TX",
            "license": "AT3312",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "AT3312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATA CERTIFICATION",
            "identifier": "080402485",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINING",
            "identifier": "AT3312",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.