Dagen Gabriel Gene Fernandes
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · McCordsville, IN
NPI 1255250080 · NPPES record last updated Jul 14, 2026
Key facts
- NPI
- 1255250080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 9711 Highland Springs Dr N
McCordsville, IN 46055-9603 - Phone
- (317) 507-4516
- NPI assigned
- Jul 14, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | IN | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
9711 Highland Springs Dr N
McCordsville, IN 46055-9603
Mailing address
9711 Highland Springs Dr N
McCordsville, IN 46055-9603
Other providers in McCordsville, IN
- Sheryl Eastes
- Leah Edgerton
- Elite Tier Care Solutions
- Emergency Provision Company
- Empowerher Women'S Care Clinic
- Tatum Elizabeth Fitzgerald
- Jorge Luis Fonseca
- Tara Frieden
- Jamie Gary
- Geist Montessori Academy
All providers in McCordsville, IN · Student in an Organized Health Care Education/Training Program in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.