Jason Fernandez, CMA

Primary specialty

TechnicianTaxonomy code 374700000X

License

60383237 Issued in WA

Practice address

4526 Federal Ave # Ms 11
Everett, WA 98203-2132

Phone

(425) 349-6200

NPI assigned

Mar 21, 2019

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Medical Assistant

State licenses

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1164982633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17024 40TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980377014",
            "telephone_number": "206-459-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4526 FEDERAL AVE # MS 11",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032132",
            "telephone_number": "425-349-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JASON",
        "credential": "CMA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "WA",
            "license": "60383237",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "CM60383237",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WADOH",
            "identifier": "CM60383237",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Aileen Louise Ferenczy, BSW, AAC-R
• Paul Don Fergeson, MA-PSYCH, AAC
• Erin K Ferguson
• Kadi-Ann Ferguson
• Amber S Fernandez
• Rosane Jane Fernandez, M.D.
• Imashi Fernando, MS, RD
• Teri Lee Ferreira, PHARMACIST
• Nina Ferrell
• Sheila Carol Ferrell, ARNP

• Technician in Everett, WA
• Providers in Everett, WA by specialty
• Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.