Sara Nicole Fernandez, MS, LAT, ATC, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2006027558 Issued in MO

Practice address

13764 Oak St
Kansas City, MO 64145-1488

Phone

(913) 522-6623

NPI assigned

Feb 17, 2022

Last updated

Feb 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1902551021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8046 MOHAWK ST APT 202",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085153",
            "telephone_number": "913-522-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13764 OAK ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451488",
            "telephone_number": "913-522-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "SARA",
        "middle_name": "NICOLE",
        "credential": "MS, LAT, ATC, CES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KS",
            "license": "24-00872",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2006027558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaley Ferguson, MD
• Melissa Suzanne Feris, QMHP
• Daniel R Ferland, PH.D.
• Charing Lleyn Fernandez, STUDENT
• Cristina Fernandez, M.D.
• Ferns, Matile, Perryman & Moore, M.D.'S, P.a.
• Qaiuum Feroz
• Emily Ferrell
• Kylene Mae Ferrell, APRN
• Maria A Ferrell, APRN, BC-PCM

• Athletic Trainer in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.