Kendra Elise Fernandez

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

17870 Park Cir
#105
Irvine, CA 92614

Phone

(949) 418-7167

NPI assigned

Nov 5, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Innovate ABA

  • Behavior Analyst
  • Irvine, CA
  • NPI 1346863529
  NPD (past)
• Innovate Speech

  • Speech-Language Pathologist
  • Irvine, CA
  • NPI 1467116434
  NPD (past)

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1134473796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W WILSON ST APT A2",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272498",
            "telephone_number": "760-855-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17870 PARK CIR",
            "address_2": "#105",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92614",
            "telephone_number": "949-418-7167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 W Providence Ave",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683808",
            "country_code": "US",
            "telephone_number": "714-639-4990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "KENDRA",
        "middle_name": "ELISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-05",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "7974",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kendra@innovatespeech.com",
            "affiliation": "N",
            "address_1": "17870 Park Cir",
            "address_2": "#105",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angelica Fermin
• Cynthia Fernandez-Jijon
• Audrey Fernandez
• Carlo Fernandez
• Crystal Fernandez
• Cassandra Fernando
• Nuwan Fernando
• Emma Ferns
• Joseph Ferraro
• Katarina Francis Ferreira

• Speech-Language Pathologist in Irvine, CA
• Providers in Irvine, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.