Avielle Fernand

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

09784 Issued in MD

Practice address

14201 School LN
Upper Marlboro, MD 20772-2866

Phone

(301) 952-6000

NPI assigned

Oct 24, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Bethesda, MD
  • NPI 1588013155

  Occupational Therapist

  NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1174240998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 FALLSTON AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 SCHOOL LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722866",
            "telephone_number": "301-952-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNAND",
        "first_name": "AVIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwatobi Fatunmbi
• Takirra Faulkner
• Dorothy I Felix, CPR INSTRUCTOR
• Michael A Fenstermaker, MD
• Cecelia Denise Ferguson, RN,BSN
• Ricardo Fernandez, M.D.
• Gisele Feumba Mbianda, PMHNP
• Sherri Danita Fewell, MS
• Rosaline Angela Fewry
• Latanya Charice Findlater

• Occupational Therapist in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.