Nicholas Raphael Fernandez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

12217 Bushey Dr
Silver Spring, MD 20902-1014

Phone

(301) 887-7321

NPI assigned

Mar 11, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1245098409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12217 BUSHEY DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209021014",
            "telephone_number": "301-887-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12217 BUSHEY DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209021014",
            "telephone_number": "301-887-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "NICHOLAS",
        "middle_name": "RAPHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Princess Haja Ferguson
• Richard Earl Ferguson
• Joshua Kiran Fernandes, M.D.
• Mary Astrid Fernandes, PHD
• Eddie Alejandro Fernandez, M.D.
• Elise Marie Nash Ferre, PA-C
• Courtney Ferrell, PH.D.
• Athena Ferril
• Warren Orrin Ferris, MD
• Marie R. Fetter, C.N.M., N.P.

• Behavior Technician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.