Joleen Fernald

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0756 Issued in NH

Practice address

2114 Seven Springs Blvd Ste 200
Trinity, FL 34655-3934

Phone

(603) 498-7825

NPI assigned

Feb 28, 2007

Last updated

Oct 4, 2022By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Joleen R. Fernald Pediatric Therapy Services

  • Speech-Language Pathologist
  • New Port Richey, FL
  • NPI 1003540196
  NPD Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1245367069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 KINSMERE DR",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554531",
            "telephone_number": "603-498-7825",
            "fax_number": "888-501-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 SEVEN SPRINGS BLVD STE 200",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346553934",
            "telephone_number": "603-498-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNALD",
        "first_name": "JOLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12821",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "0756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "389051",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "66Y010671NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bouthiana Fathallah, CAA
• Darwish Ali Fawaz, RPH
• Terry Felder
• Andrew Isaac Fenton, DPT
• Tonya S Fenzl, C.N.M.
• Yordanska Fernandez Cabada, DMD
• Damon Adahn Ferreira
• Emily Ferrera, APRN
• Diana Ferrigno
• Devan Figliomeni

• Speech-Language Pathologist in Trinity, FL
• Providers in Trinity, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.