Fernando Cardenas Lagrimas, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

54098 Issued in TN

Practice address

710 Carl Perkins Pkwy
Tiptonville, TN 38079-1678

Phone

(731) 253-6690

Fax

(731) 253-6692

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Florida Department of Children and Families

  • Psychiatric Hospital
  • Macclenny, FL
  • NPI 1013931765
  NPD (past)
• Wellmont Physician Services Inc

  • Internal Medicine Physician
  • Big Stone Gap, VA
  • NPI 1619095403

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1023033073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 CHEROKEE CIR",
            "city": "TIPTONVILLE",
            "state": "TN",
            "postal_code": "380791620",
            "telephone_number": "276-275-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CARL PERKINS PKWY",
            "city": "TIPTONVILLE",
            "state": "TN",
            "postal_code": "380791678",
            "telephone_number": "731-253-6690",
            "fax_number": "731-253-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGRIMAS",
        "first_name": "FERNANDO",
        "middle_name": "CARDENAS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101047198",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "54098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q023518",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010238544",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colton Edward Gramse, DNP, APRN, PMHNP-BC
• Carol Winfred Guess, M.D.
• Norma Jean Johnson, BOC ABC
• Courtney Kent, PMHNP
• Terra Micah King, APRN, FNP-C
• Lake County Primary Care
• Main Street Family Care PLLC
• Valerie Cagle Makin, RN
• John Mancell, PHARM D
• James Francis McCallen III, D.D.S.

• Family Medicine Physician in Tiptonville, TN
• Providers in Tiptonville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.