Kathleen Hernandez, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL5431 Issued in FL

Practice address

16401 NW 37TH Ave
Miami Gardens, FL 33054-6313

Phone

(305) 628-6520

NPI assigned

Oct 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1942842463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 46TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16401 NW 37TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546313",
            "telephone_number": "305-628-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "KATHLEEN",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL5431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elma Auxiliadora Hernandez
• Francis Hernandez
• Geily Hernandez, FNP
• Hector Rene Hernandez
• Karelys Hernandez
• Keylin Hernandez
• Melissa Hernandez
• Mileidy Hernandez, RBT
• Milena Hernandez, RBT
• Yaninma Hernandez

• Athletic Trainer in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.