Active NPI
Nella Cristina Fernandez, M.D.
- Clinical Pathology/Laboratory Medicine Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- MD.41696
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023272168 | Medicaid | AL | |
| 017211900 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME125838 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
| MD.41696 | AL | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Pathology Associates | Current | Accepting new patients | |
| Alabama Pathology Associates | Current | 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
- 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.
-
- Specialist
- Montgomery, AL
- NPI 1891786315
-
- Clinical Medical Laboratory
- Montgomery, AL
- NPI 1043330202
-
- Anatomic Pathology & Clinical Pathology Physician
- Clermont, FL
- NPI 1124091509
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1043262488
-
dba Medical Center Enterprise
- General Acute Care Hospital
- Enterprise, AL
- NPI 1720039712
-
dba Russell Medical Center
- General Acute Care Hospital
- Alexander City, AL
- NPI 1811913460
-
dba Coosa Valley Medical Center
- Rural Acute Care Hospital
- Sylacauga, AL
- NPI 1972527265
-
dba Troy Regional Medical Center
- Rural Acute Care Hospital
- Troy, AL
- NPI 1770814626
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.