Wineetha Fernando, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0416062 Issued in KS

Practice address

1301 KS Hwy 264
Larned, KS 67550-5353

Phone

(620) 804-1022

Fax

(620) 285-4579

NPI assigned

Jul 10, 2006

Last updated

Jul 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1023042926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 KS HWY 264",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675505353",
            "telephone_number": "620-804-1022",
            "fax_number": "620-285-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 KS HWY 264",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675505353",
            "telephone_number": "620-804-1022",
            "fax_number": "620-285-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDO",
        "first_name": "WINEETHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "0416062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Christine Edison, PH.D
• Jose Eyma
• Rebecca Anne Farr, PSY.D.
• Kathryn Fenton-Glover, OTR
• Jasenthu L. Fernando
• Jessica Renee Fischer, APRN
• Ft Larned Usd 495
• Reba Glidewell, PHD
• Michel Gratia, MD
• Amanda Haberman

• General Practice Physician in Larned, KS
• Providers in Larned, KS by specialty
• General Practice Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.