Individual provider Active NPI

Dayron Fernandez

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1073373148
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11031822 Issued in FL
Practice address
5289 Ehrlich Rd
Tampa, FL 33624-2042
Phone
(813) 374-0214
NPI assigned
Mar 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11031822 FL Primary

Addresses

Primary practice location

5289 Ehrlich Rd
Tampa, FL 33624-2042

Mailing address

5289 Ehrlich Rd
Tampa, FL 33624-2042
Phone (813) 374-0214

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

State licenses

LicenseStateTypeSpecialty
11031822FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little Giant Pediatrics Inc. Current Accepting new patients
Little Giant Pediatrics Current Accepting new patients
Allridy Transportation Services Inc Current Accepting new patients
Esperanza Home Health Services Inc CurrentSince Mar 24, 2024 Accepting new patients

Locations

5289 Ehrlich Rd
Tampa, FL 33624
Phone (813) 374-0214

Organizations & group practices 4

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": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1073373148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5289 EHRLICH RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242042",
            "telephone_number": "813-374-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5289 EHRLICH RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242042",
            "telephone_number": "813-374-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "DAYRON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11031822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.