Active NPI
Elizabeth Hernandez, ARNP
- Nurse Practitioner
- Homestead, FL
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.
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9308421
- 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, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9308421 | FL | MD | Emergency Medical Services (Emergency Medicine) Physician |
| C-APN.0001192-C-NP | CO | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Solutions of South Florida, LLC | Nurse Practitioner | Past | 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.
-
- Emergency Medicine Physician
- Atlantis, FL
- NPI 1609298181
Nurse Practitioner
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.