Individual provider Active NPI

Nella Cristina Fernandez, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Montgomery, AL
National Provider Identifier
1023272168
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
MD.41696 Issued in AL
Practice address
2055 Normandie Dr
Montgomery, AL 36111-2732
Phone
(334) 263-6228
Fax
(334) 265-9136
NPI assigned
Jul 17, 2008
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME125838 FL
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X MD.41696 AL Primary

Addresses

Primary practice location

2055 Normandie Dr
Montgomery, AL 36111-2732

Mailing address

225B Winton M Blount Loop
Montgomery, AL 36117-3507
Phone (334) 263-6228

Other practice location 1

231 Albert Sabin Way
ML 0555
Cincinnati, OH 45267-2827
Phone (513) 558-7108

Other practice location 2

1620 Medical Ln Ste 100
Fort Myers, FL 33907-1143
Phone (239) 275-1164

Other identifiers 2

IdentifierTypeStateIssuer
1023272168MedicaidAL
017211900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022000414 AL Practitioner - Pathology 1052530375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Pathology AssociatesGroup PAC ID 8325026990, 3 clinicians

Practice addresses (Care Compare)

225 B Winton Blount Loop
Montgomery, AL 36117
Phone (334) 263-6228

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME125838FLMDAnatomic Pathology & Clinical Pathology Physician
MD.41696ALMDClinical Pathology/Laboratory Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Pathology Associates CurrentSince Sep 14, 2020 Accepting new patients
Alabama Pathology Associates CurrentSince Sep 14, 2020 Accepting new patients
Ameripath Hospital Services-Florida LLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

2019 Clubview St
Montgomery, AL 36106
Phone (334) 263-6228

2055 Normandie Dr
Montgomery, AL 36111
Phone (334) 288-2100

225B Winton Blount Loop
Montgomery, AL 36117
Phone (334) 263-6228

225B Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 263-6228

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/commal-d9d80e4d

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1023272168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225B WINTON M BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173507",
            "telephone_number": "334-263-6228",
            "fax_number": "334-263-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 NORMANDIE DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112732",
            "telephone_number": "334-263-6228",
            "fax_number": "334-265-9136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Albert Sabin Way",
            "address_2": "ML 0555",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452672827",
            "country_code": "US",
            "telephone_number": "513-558-7108",
            "fax_number": "513-558-2289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 Medical Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339071143",
            "country_code": "US",
            "telephone_number": "239-275-1164",
            "fax_number": "239-275-5212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "NELLA",
        "middle_name": "CRISTINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME125838",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "AL",
            "license": "MD.41696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023272168",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017211900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.