Nidia Fernandez, D.O.M

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP2527 Issued in FL

Practice address

449 Central Ave
Suite 202
St Petersburg, FL 33701-3863

Phone

(813) 760-0055

NPI assigned

Dec 14, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Nidia Diaz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1184960494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 CENTRAL AVE",
            "address_2": "SUITE 202",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013863",
            "telephone_number": "813-760-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 CENTRAL AVE",
            "address_2": "SUITE 202",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013863",
            "telephone_number": "813-760-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "NIDIA",
        "name_prefix": "Dr.",
        "credential": "D.O.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-14",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "C00NG.",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIDIA",
            "last_name": "DIAZ",
            "prefix": "DR.",
            "credential": "DOM, OMD, AP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jose Armando Fernandez Salazar
• Jenelys Fernandez-Torres, MD
• Allison Manuela Fernandez, MD
• Bryan Fernandez
• Dianne Michelle Fernandez, D.C.
• Jessica Feronti, PA-C
• Amber Lee Ferraro, PA
• Robert Ferraro, PHARMD
• Jennifer Madaffari Ferreira, SLP
• Luis Ferrey

• Acupuncturist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.