Anthony Michael Fernandez, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30003672 Issued in NC

Practice address

10320 Durant Rd Ste 109
Raleigh, NC 27614-6466

Phone

(919) 234-7770

Fax

(855) 978-2208

NPI assigned

Jan 26, 2018

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Speechie Inc

  • Speech-Language Pathologist
  • Miami, FL
  • NPI 1467087676
  NPD Authorized official
• Goji Pediatric Therapy PLLC

  • Speech-Language Pathologist
  • Raleigh, NC
  • NPI 1629871843
  NPD
• Beyond Therapy Team LLC

  • Developmental Therapist
  • Miami, FL
  • NPI 1386277119

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1245738079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5117 TWELVEPOLE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165877",
            "telephone_number": "786-512-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 DURANT RD STE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146466",
            "telephone_number": "919-234-7770",
            "fax_number": "855-978-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-26",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30003672",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA18656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Lisette Fernald, CRNA
• Yanet Fernandez Cerda
• Fernandez Community Center, LLC
• Fernandez Community Services
• Fernandez Familia Clinic
• Elise Milagros Fernandez, LPC
• Jorge Fernandez, NURSE PRACTITIONER
• Rachel Fernandez, CFO
• Sarah Lolli Fernandez, PA-C
• Eugenia Fernando

• Speech-Language Pathologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.