Individual provider Active NPI

Elizabeth Hernandez, ARNP

  • Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1790035921
Registry record updated Apr 1, 2020
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Apr 18, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9308421 Issued in FL
Practice address
17121 SW 281St St
Homestead, FL 33030-1905
Phone
(305) 505-8421
Fax
(305) 675-0340
NPI assigned
Sep 14, 2012
Last updated
Apr 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9308421 FL Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 9308421 FL
Adult Medicine Physician 207QA0505X C-APN.0001192-C-NP CO

Addresses

Primary practice location

17121 SW 281St St
Homestead, FL 33030-1905

Mailing address

17121 SW 281St St
Homestead, FL 33030-1905
Phone (305) 505-8421

Other practice location 1

13280 Evening Creek Dr S Ste 225
San Diego, CA 92128-4664
Phone (305) 505-8421

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://SkinSolutions.doxy.me/skinsolutionsmd Direct

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9308421FLMDEmergency Medical Services (Emergency Medicine) Physician
C-APN.0001192-C-NPCOMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Solutions of South Florida, LLC Nurse Practitioner PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1790035921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17121 SW 281ST ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330301905",
            "telephone_number": "305-505-8421",
            "fax_number": "305-675-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17121 SW 281ST ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330301905",
            "telephone_number": "305-505-8421",
            "fax_number": "305-675-0340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13280 Evening Creek Dr S Ste 225",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921284664",
            "country_code": "US",
            "telephone_number": "305-505-8421",
            "fax_number": "305-675-0340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9308421",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "FL",
            "license": "9308421",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CO",
            "license": "C-APN.0001192-C-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://SkinSolutions.doxy.me/skinsolutionsmd",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13280 Evening Creek Dr S Ste 225",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921284664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.