Active NPI
Macarena Fernandez, MA CCC-SLP/BCBA
- Speech-Language Pathologist
- Columbia, MD
National Provider Identifier
1033484522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 06572
- Practice address
- 7175 Columbia Gateway Dr
Suite a
Columbia, MD 21046-2534 - Phone
- (888) 344-5977
- NPI assigned
- Mar 15, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 06572 | MD | Primary |
| Behavior Analyst | 103K00000X | 039 | MD |
Addresses
Primary practice location
7175 Columbia Gateway Dr
Suite a
Columbia, MD 21046-2534
Mailing address
750 Azalea Dr
Rockville, MD 20850-2015
Phone (301) 785-5334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039 | MD | MD | Behavioral Analyst |
| 06572 | MD | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lovetolearnmd, LLC | Behavior Analyst | Current | Accepting new patients |
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": "1331769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468454400000",
"number": "1033484522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 AZALEA DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208502015",
"telephone_number": "301-785-5334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7175 COLUMBIA GATEWAY DR",
"address_2": "SUITE A",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210462534",
"telephone_number": "888-344-5977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "MACARENA",
"name_prefix": "Ms.",
"credential": "MA CCC-SLP/BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-15",
"last_updated": "2016-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "06572",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": "039",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.