Individual provider Active NPI

Cathryn Jean Fernandez, M.A.,CCC-SLP

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1871705319
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17977 Issued in TX
Practice address
2203 Babcock Rd
San Antonio, TX 78229
Phone
(210) 860-5133
NPI assigned
May 4, 2007
Last updated
Jun 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 17977 TX Primary

Addresses

Primary practice location

2203 Babcock Rd
San Antonio, TX 78229

Mailing address

2203 Babcock Rd
San Antonio, TX 78229-4412
Phone (210) 860-5133

Other practice location 1

342 E Rio Grande St
Suite A
Eagle Pass, TX 78852-4812
Phone (210) 860-5133

Other names 1

  • Cathryn Jean Hansen Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
17977TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1871705319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294412",
            "telephone_number": "210-860-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-860-5133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "342 E Rio Grande St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Eagle Pass",
            "state": "TX",
            "postal_code": "788524812",
            "country_code": "US",
            "telephone_number": "210-860-5133",
            "fax_number": "830-773-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "CATHRYN",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "17977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHRYN",
            "last_name": "HANSEN",
            "middle_name": "JEAN",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.