Axis Morales Fernandez, IMG, MSN, FNP - BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11021102 Issued in FL

Practice address

9250 NW 25TH St
Doral, FL 33172-1503

Phone

(786) 597-4951

NPI assigned

Jul 28, 2022

Last updated

Jul 28, 2022By the provider in NPPES

Sex

Male

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• Leon Medical Centers LLC

  • Health Service Clinic/Center
  • Miami, FL
  • NPI 1376579839
  Medicare reassignment NPD

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1003542366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14172 SW 150TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331965602",
            "telephone_number": "786-597-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 NW 25TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721503",
            "telephone_number": "786-597-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES FERNANDEZ",
        "first_name": "AXIS",
        "credential": "IMG, MSN, FNP - BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11021102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yves Montrose, REGISTERED NURSE
• Adel Monzon, LMT
• Moonshine Research Center, Inc.
• Tommie Moore, RPH
• Elias Mora Kumboz, SA-C
• Anny Roselynn Morales Souquett, FNP
• Fermin Morales
• Jose Rafael Morales, LMT
• Katherine Morales, MS CCC-SLP
• Lauratania Morales, RBT

• Family Nurse Practitioner in Doral, FL
• Providers in Doral, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.