Vivian T Fernandez, PHD RDN LDN CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

R10546 Issued in FL

Practice address

8375 SW 64TH St
Miami, FL 33143-2529

Phone

(305) 323-7687

NPI assigned

Sep 21, 2018

Last updated

Sep 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Vivian T Fernandez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1063996494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8375 SW 64TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331432529",
            "telephone_number": "305-323-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 SW 64TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331432529",
            "telephone_number": "305-323-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "VIVIAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PHD RDN LDN CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "R10546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "FERNANDEZ",
            "middle_name": "T",
            "prefix": "DR.",
            "credential": "PHD RD LD CDE BC-ADM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Victoria Fernandez, DMD
• Victoria Fernandez
• Victoria Autumn Fernandez, M.S., OTR/L
• Victoria Candela Fernandez, LAC
• Virginia Fernandez
• Viviana Fernandez
• Vladimir Fernandez
• Wendy L Fernandez, BS
• Widayessi Fernandez, MSN, APRN, FNP-C
• Yailen Fernandez

• Registered Dietitian in Miami, FL
• Providers in Miami, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.