Dianne Michelle Fernandez, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0005777 Issued in FL

Practice address

4800 4TH St N
Saint Petersburg, FL 33703-3817

Phone

(727) 528-1133

Fax

(727) 527-3750

NPI assigned

Jan 10, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: dianne.fernandez.1@11209.direct.athenahealth.com

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104975739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 48TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337033824",
            "telephone_number": "727-527-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 4TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337033817",
            "telephone_number": "727-528-1133",
            "fax_number": "727-527-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "DIANNE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "39666",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ignacio Federico Fernandez Nievas, MD
• Jose Armando Fernandez Salazar
• Jenelys Fernandez-Torres, MD
• Allison Manuela Fernandez, MD
• Bryan Fernandez
• Nidia Fernandez, D.O.M
• Jessica Feronti, PA-C
• Amber Lee Ferraro, PA
• Robert Ferraro, PHARMD
• Jennifer Madaffari Ferreira, SLP

• Chiropractor in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.