NPIMap

Organization Active NPI

Andre N. Fernandez

  • Psychiatry Physician
  • Lexington, KY
National Provider Identifier
1013320837
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
32567 Issued in KY
Legal business name
ANDRE N. FERNANDEZ
Practice address
501 Darby Creek Rd
Suite 21
Lexington, KY 40509-1604
Phone
(859) 263-9305
Fax
(859) 264-1169
NPI assigned
Jun 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Dr. Andre N. Fernandez, M.D.NPI 1841369451
Title
Physician/Owner
Phone
(859) 263-9305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X 32567 KY Primary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X 32567 KY

Addresses

Primary practice location

501 Darby Creek Rd
Suite 21
Lexington, KY 40509-1604

Mailing address

501 Darby Creek Rd
Suite 21
Lexington, KY 40509-1604
Phone (859) 263-9305

Other identifiers 1

IdentifierTypeStateIssuer
64325673MedicaidKY

National Provider Directory

National Provider Directory

Locations

501 Darby Creek Rd
Ste 21
Lexington, KY 40509
Phone (859) 263-9305

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1013320837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DARBY CREEK RD",
            "address_2": "SUITE 21",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091604",
            "telephone_number": "859-263-9305",
            "fax_number": "859-264-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DARBY CREEK RD",
            "address_2": "SUITE 21",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091604",
            "telephone_number": "859-263-9305",
            "fax_number": "859-264-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRE N. FERNANDEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "859-263-9305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "32567",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "32567",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64325673",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.