Individual provider Active NPI

Kenia Llaudy Fernandez, FNP-C

  • Primary Care Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1013696194
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11027524 Issued in FL
Practice address
1090 W State Road 436
Altamonte Springs, FL 32714-2921
Phone
(407) 869-1030
Fax
(407) 869-1025
NPI assigned
Jul 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X APRN11027524 FL Primary
Nurse Practitioner 363L00000X APRN11027524 FL

Addresses

Primary practice location

1090 W State Road 436
Altamonte Springs, FL 32714-2921

Mailing address

1090 W State Road 436
Altamonte Springs, FL 32714-2921
Phone (407) 869-1030

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231229000543 FL Practitioner - Nurse Practitioner 7113377334

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1120 Dot Dr
Altamonte Springs, FL 32714-2729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11027524FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alonso Medical and Wellness Institute LLC PastSince Apr 1, 2016 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIIFDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1013696194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 W STATE ROAD 436",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142921",
            "telephone_number": "407-869-1030",
            "fax_number": "407-869-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 W STATE ROAD 436",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142921",
            "telephone_number": "407-869-1030",
            "fax_number": "407-869-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLAUDY FERNANDEZ",
        "first_name": "KENIA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11027524",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11027524",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.