Active NPI
Minela Fernandez, MD
- Pediatric Gastroenterology Physician
- Wilmington, NC
National Provider Identifier
1063486538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 33679
- Practice address
- 2131 S 17TH St
Wilmington, NC 28401-7407 - Phone
- (910) 667-5011
- Fax
- (910) 667-7390
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 201701734 | NC | |
| Pediatric Gastroenterology Physician | 2080P0206X | 33679 | KY | Primary |
Addresses
Primary practice location
2131 S 17TH St
Wilmington, NC 28401-7407
Mailing address
2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 667-5011
Other practice location 1
Dept Of Pediatrics Walter Reed Army Medical Ctr
6900 Georgia Ave, NW
Washington, DC 20307-0001
Phone (202) 782-6446
Other names 1
- Minela Fernandez-Aponte
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33679 | KY | MD | Pediatric Gastroenterology Physician |
| 201701734 | NC | MD | Pediatric Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508889600000",
"number": "1063486538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017407",
"telephone_number": "910-667-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017407",
"telephone_number": "910-667-5011",
"fax_number": "910-667-7390"
}
],
"practiceLocations": [
{
"address_1": "Dept Of Pediatrics Walter Reed Army Medical Ctr",
"address_2": "6900 Georgia Ave, NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "203070001",
"country_code": "US",
"telephone_number": "202-782-6446",
"fax_number": "202-782-8136",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "MINELA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2017-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NC",
"license": "201701734",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "KY",
"license": "33679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MINELA",
"last_name": "FERNANDEZ-APONTE",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.