Active NPI
Virmarie Diaz Fernandez, MD
- Psychiatry Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME135999
- Practice address
- 7901 4TH St N Ste 5102
St Petersburg, FL 33702-4305 - Phone
- (352) 308-1485
- Fax
- (352) 329-4379
- NPI assigned
- Sep 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 21742-875 | WI | |
| Psychiatry Physician | 2084P0800X | 22188 | NH | |
| Psychiatry Physician | 2084P0800X | 88427 | GA | |
| Psychiatry Physician | 2084P0800X | 43314 | AL | |
| Psychiatry Physician | 2084P0800X | ME135999 | FL | Primary |
Addresses
Primary practice location
7901 4TH St N Ste 5102
St Petersburg, FL 33702-4305
Mailing address
7901 4TH St N Ste 5102
St Petersburg, FL 33702-4305
Phone (352) 308-1485
Other practice location 1
14822 Main St
Alachua, FL 32615-8590
Phone (352) 462-9484
Other practice location 2
175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Phone (678) 209-2394
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NN736 | Other | FL | MEDICARE HF |
| 104725400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NH, GA, NC, TX, WA, NJ, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Puerto Rico School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Community Health Centers Inc
Practice addresses (Care Compare)
315 S W C Owen Ave
Clewiston, FL 33440-3637
Phone (863) 983-7813
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43314 | AL | MD | Psychiatry Physician |
| ME135999 | FL | MD | Psychiatry Physician |
| 22188 | NH | MD | Psychiatry Physician |
| 21742-875 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eleanor Health Professional Wa, PLLC | Psychiatry | Current | Accepting new patients |
| Better Connections | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Psychiatry | Current | Accepting new patients |
| Eleanor Health Professional la, LLC | Current | Accepting new patients | |
| A Mindfulness Space | Current | Accepting new patients | |
| Brazos Valley Community Action Agency, Inc. | Current | Accepting new patients | |
| Hope Health & Wellness Inc | Current | Accepting new patients | |
| Brazos Valley Community Action Agency, Inc. | Current | Accepting new patients | |
| Florida Community Health Centers Inc | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Florida Community Health Centers Inc | Current | Accepting new patients | |
| Brightside Health, Inc. | Psychiatry | Current | Accepting new patients |
| Eleanor Health Professional NC, PLLC | Psychiatry | Current | Accepting new patients |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Angels for Kids on Call 24/7 Inc. | Current | Accepting new patients | |
| Grow Healthcare Group PA | Psychiatry | Current | Accepting new patients |
| Florida Community Health Centers, Inc. | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Current | Accepting new patients | |
| Florida Community Health Centers Inc | Current | Accepting new patients | |
| Eleanor Health Professional TX, PLLC | Psychiatry | Current | Accepting new patients |
| Florida Community Health Centers, Inc. | Current | Accepting new patients | |
| Eleanor Health Professional Oh, LLC | Current | Accepting new patients | |
| Florida Community Health Centers Inc | Current | Accepting new patients | |
| Florida Community Health Centers Inc | Current | Accepting new patients | |
| Brightside Medical, P.C. | Psychiatry | Current | Accepting new patients |
| Eleanor Health Professional TX, PLLC | Psychiatry | Current | Accepting new patients |
| Tides Mental Health of Il, PLLC | Past | Accepting new patients | |
| Better Beginnings LLC | Psychiatry | Past | Accepting new patients |
| Hope Health and Wellness Inc | Past | Accepting new patients | |
| Michigan Institute for Health Enhancement | Past | Accepting new patients |
Locations (25 of 34)
1430 Gadsden Hwy
Ste 116917
Birmingham, AL 35235
Phone (208) 623-9050
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
315 S W C Owen Ave
Clewiston, FL 33440
Phone (561) 996-9573
1505 Delaware Ave
Fort Pierce, FL 34950
Phone (772) 461-1140
19 N 6th St
Ste 19A
Haines City, FL 33844
Phone (863) 216-6595
15858 SW Warfield Blvd
Indiantown, FL 34956
Phone (772) 597-3596
6501 Arlington Expy
Ste B105
Jacksonville, FL 32211
Phone (904) 302-9355
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1021 Health Park Dr
Moore Haven, FL 33471
Phone (863) 946-0405
1100 N Parrott Ave
Okeechobee, FL 34972
Phone (863) 763-1951
1071 Port Malabar Blvd NE
Ste 106
Palm Bay, FL 32905
Phone (321) 676-3383
3235 SW Port St Lucie Blvd
Ste 105
Port St Lucie, FL 34953
Phone (772) 408-5063
3441 SE Willoughby Blvd
Stuart, FL 34994
Phone (772) 221-4000
2845 N Military Trl
Ste 31
West Palm Beach, FL 33409
Phone 5616860120109
814 SW Evangeline Trwy
Lafayette, LA 70501
Phone (337) 222-3707
3901 Houma Blvd
Ste 404
Metairie, LA 70006
Phone (504) 226-8768
221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611
5835 York Rd
Baltimore, MD 21212
Phone (410) 204-4541
2402 S Miami Blvd
Ste 101
Durham, NC 27703
Phone (919) 765-8730
930 Tate Blvd SE
Ste 101
Hickory, NC 28602
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
159 Frontage Rd
Manchester, NH 03103
Phone (800) 604-3994
172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926
789 White Pond Dr
Ste C
Akron, OH 44320
Phone (330) 355-3153
1747 Olentangy River Rd
Columbus, OH 43212
Phone (614) 233-1559
Interoperability endpoints
- vdiazfernandez2807180@carolinashealthcaresystem.direct-ci.com
- virmarie.diaz.fernandez.1@21505.direct.athenahealth.com
- virmarie.diaz.1@23211.direct.athenahealth.com
- virmarie.diaz.fernandez.1@14865.direct.athenahealth.com
Organizations & group practices 30
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.
-
- Community/Behavioral Health Agency
- Palm Bay, FL
- NPI 1629483706
-
- Family Medicine Physician
- Pahokee, FL
- NPI 1851518211
-
- Federally Qualified Health Center (FQHC)
- Port St Lucie, FL
- NPI 1346619244
-
- Multi-Specialty Clinic/Center
- West Palm Beach, FL
- NPI 1437347176
-
- Psychiatry Physician
- Hickory, NC
- NPI 1891349155
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- San Antonio, TX
- NPI 1932854981
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Everett, WA
- NPI 1043827132
-
- Vascular Surgery Physician
- Laurinburg, NC
- NPI 1477791507
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1093787384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1306248075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 4TH ST N STE 5102",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024305",
"telephone_number": "352-308-1485",
"fax_number": "352-329-4379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 4TH ST N STE 5102",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024305",
"telephone_number": "352-308-1485",
"fax_number": "352-329-4379"
}
],
"practiceLocations": [
{
"address_1": "14822 Main St",
"address_purpose": "LOCATION",
"city": "Alachua",
"state": "FL",
"postal_code": "326158590",
"country_code": "US",
"telephone_number": "352-462-9484",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "175 Gwinnett Dr",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300468444",
"country_code": "US",
"telephone_number": "678-209-2394",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ FERNANDEZ",
"first_name": "VIRMARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-24",
"last_updated": "2023-01-09",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "21742-875",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NH",
"license": "22188",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "88427",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "43314",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME135999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HF",
"identifier": "NN736",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104725400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.