Active NPI
Cipriano S Fernandes, M.D.
- Forensic Psychiatry Physician
- Gainesville, FL
National Provider Identifier
1053598714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- ME33802
- Practice address
- 1200 NE 55TH Blvd
North Florida Eval/Treatment Center
Gainesville, FL 32641-2783 - Phone
- (352) 375-8484
- Fax
- (352) 271-4563
- NPI assigned
- Jan 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | ME33802 | FL | Primary |
Addresses
Primary practice location
1200 NE 55TH Blvd
North Florida Eval/Treatment Center
Gainesville, FL 32641-2783
Mailing address
1200 NE 55TH Blvd
North Florida Eval/Treatment Center
Gainesville, FL 32641-2783
Phone (352) 375-8484
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME33802 | FL | MD | Forensic Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1053598714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 NE 55TH BLVD",
"address_2": "NORTH FLORIDA EVAL/TREATMENT CENTER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326412783",
"telephone_number": "352-375-8484",
"fax_number": "352-271-4563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 NE 55TH BLVD",
"address_2": "NORTH FLORIDA EVAL/TREATMENT CENTER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326412783",
"telephone_number": "352-375-8484",
"fax_number": "352-271-4563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDES",
"first_name": "CIPRIANO",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-24",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "FL",
"license": "ME33802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
- Sheila Veronica Ferguson, BS, RD, LD
- Taesha Ferguson, APRN
- Maria E Fermin Gutierrez, M.D.
- Jonathan Kyle Fernand, M.A., BCBA
- Leda Regina Fernandes Mugayar, DDS
- Deanna Celeste Fernandes, PHARMD
- Dielle C Fernandes, PHARMD,BCPS,FASCP
- Joel Sebastian Fernandes, M.D.
- Olivia Fernandes, ATC, LAT
- Giselle Fernandez Dominguez, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.