Caitlin J Fernandez, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F348628-01 Issued in NY

Practice address

114 University Ave
Attn Credentialing
Rochester, NY 14605-6626

Phone

(585) 546-2771

Fax

(315) 222-7435

NPI assigned

Dec 13, 2017

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

Other names 1

• Caitlin J. Taylor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1124533138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 UNIVERSITY AVE",
            "address_2": "ATTN CREDENTIALING",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146056626",
            "telephone_number": "585-546-2771",
            "fax_number": "315-222-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 UNIVERSITY AVE",
            "address_2": "ATTN CREDENTIALING",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146056626",
            "telephone_number": "585-546-2771",
            "fax_number": "315-222-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "CAITLIN",
        "middle_name": "J",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018683",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F348628-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06742736",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "TAYLOR",
            "middle_name": "J.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emiko Fergusson
• Amanda Rene Ferindino, M.S., ED.
• Jennifer M Fernaays
• Annamarie Grace Fernandes, MD
• Alfredo Fernandez, RN
• Denise Fernandez
• Shanna Lyn Fernandez, LMSW
• Stanley Fernandez, LMHC
• Yolanda Fernandez, LPN
• Sandra R Ferra

• Family Nurse Practitioner in Rochester, NY
• Providers in Rochester, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.