Pamela A Fernandes, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-006334 Issued in IL

Practice address

4093 W Algonquin Rd.
Algonquin, IL 60102-9401

Phone

(847) 669-6071

Fax

(847) 669-6074

NPI assigned

Feb 28, 2006

Last updated

Oct 1, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1988

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fernandes Chiropractic LTD.

  • Chiropractor
  • Algonquin, IL
  • NPI 1154509537
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1235105164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4093 W ALGONQUIN RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601029401",
            "telephone_number": "847-669-6071",
            "fax_number": "847-669-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4093 W ALGONQUIN RD.",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601029401",
            "telephone_number": "847-669-6071",
            "fax_number": "847-669-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "PAMELA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-006334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELDPROV.#",
            "identifier": "04532030",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Lang Faubel, M.D.
• Favia Primary Care, SC
• Philip Favia, MD
• Kendall Anne Feeney
• Fernandes Chiropractic LTD.
• Dante Jack Fiandaca, DDS
• Michael K. Finigan, PA-C
• Matthew Fleming, PHD
• Judy E Flores-Sender, M.ED, NCC
• Flourish Therapy PLLC

• Chiropractor in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.