Katriella Fernandez, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

823656 Issued in NV

Practice address

6064 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5350

Phone

(702) 940-8007

Fax

(702) 832-1940

NPI assigned

Aug 12, 2019

Last updated

Apr 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Gold Physical Medicine and Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
  • NPI 1861986465
  NPD
• Primary Wellness LLC

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1902501448
  NPD
• Battle-Born Psychological Services, LLC

  • Clinical Psychologist
  • North Las Vegas, NV
  • NPI 1912377482
  NPD (past)
• J H Daulat DO PC

  dba Mohave Dermatology

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1194268987
  NPD (past)

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1073169454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6064 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485350",
            "telephone_number": "702-940-8007",
            "fax_number": "702-832-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6064 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485350",
            "telephone_number": "702-940-8007",
            "fax_number": "702-832-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "KATRIELLA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "823656",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NV",
            "license": "823656",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073169454",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Fernandez Jr.
• Jorge Fernandez
• Joyce Ann Fernandez
• Juan Fernandez
• Julio Fernandez
• Ketty Fernandez
• Keyla Fernandez
• Laquinta Fernandez
• Lazaro Fernandez
• Lazaro Eydheer Fernandez

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.