Autumn Michelle Fernandez, RN BSN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

4704287569 Issued in MI

Practice address

203 E Cayuga St
Bellaire, MI 49615-9180

Phone

(231) 533-8610

NPI assigned

Mar 23, 2021

Last updated

Mar 23, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

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.

• North Country Community Mental Health

  • Community/Behavioral Health Agency
  • Petoskey, MI
  • NPI 1053474015
  NPD

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1265018998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E CAYUGA ST",
            "city": "BELLAIRE",
            "state": "MI",
            "postal_code": "496159180",
            "telephone_number": "231-533-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E CAYUGA ST",
            "city": "BELLAIRE",
            "state": "MI",
            "postal_code": "496159180",
            "telephone_number": "231-533-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "AUTUMN",
        "middle_name": "MICHELLE",
        "credential": "RN BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MI",
            "license": "4704287569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Casillas, LLMS
• Benjamin Riley Comment, PHARMD
• Ryan Demarsh, LPC
• East Jordan Family Health Center (Bellaire Family Health Center)
• East Jordan Family Health Center (Bellaire Family Health Center)
• William Tyrous French, LMSW
• Rebecca Helen Gamble
• Jeffrey Hart Green, MD
• Carl Thomas Heldt
• Mary A Hinzmann, RN

• Community Health Registered Nurse in Bellaire, MI
• Providers in Bellaire, MI by specialty
• Community Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.