Individual provider Active NPI

Virmarie Diaz Fernandez, MD

  • Psychiatry Physician
  • St Petersburg, FL
National Provider Identifier
1306248075
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME135999 Issued in FL
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

Updated by the provider on Jan 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NN736OtherFLMEDICARE HF
104725400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NH, GA, NC, TX, WA, NJ, MA8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20200601002191 FL Practitioner - Psychiatry 8628499506 Reassigns benefits to 6 organizations
I20211122002190 NH Practitioner - PsychiatryPractitioner - Neurology 8628499506 Reassigns benefits to 1 organization
I20231120000393 GA Practitioner - Psychiatry 8628499506
I20240304002370 NC Practitioner - PsychiatryPractitioner - Neurology 8628499506 Reassigns benefits to 2 organizations
I20240730002686 TX Practitioner - Psychiatry 8628499506 Reassigns benefits to 2 organizations
I20240904004285 WA Practitioner - Psychiatry 8628499506 Reassigns benefits to 1 organization
I20240906003206 NJ Practitioner - Psychiatry 8628499506
I20240911004372 MA Practitioner - Psychiatry 8628499506

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
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 IncGroup PAC ID 9931017126, shared by 15 NPIs, 32 clinicians

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

LicenseStateTypeSpecialty
43314ALMDPsychiatry Physician
ME135999FLMDPsychiatry Physician
22188NHMDPsychiatry Physician
21742-875WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eleanor Health Professional Wa, PLLC Psychiatry CurrentSince Aug 20, 2024 Accepting new patients
Better Connections CurrentSince Jan 15, 2023 Accepting new patients
Scotland Memorial Hospital Inc Psychiatry CurrentSince Jan 1, 2024 Accepting new patients
Eleanor Health Professional la, LLC CurrentSince Jun 23, 2024 Accepting new patients
A Mindfulness Space Current Accepting new patients
Brazos Valley Community Action Agency, Inc. CurrentSince Dec 21, 2024 Accepting new patients
Hope Health & Wellness Inc CurrentSince Jan 30, 2021 Accepting new patients
Brazos Valley Community Action Agency, Inc. CurrentSince Dec 21, 2024 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Nov 21, 2021 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Brightside Health, Inc. Psychiatry CurrentSince Mar 1, 2025 Accepting new patients
Eleanor Health Professional NC, PLLC Psychiatry CurrentSince Apr 25, 2024 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Nov 21, 2021 Accepting new patients
Angels for Kids on Call 24/7 Inc. CurrentSince Jan 30, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatry CurrentSince Feb 1, 2022 Accepting new patients
Florida Community Health Centers, Inc. CurrentSince Jan 30, 2023 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Jan 1, 2024 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Eleanor Health Professional TX, PLLC Psychiatry CurrentSince Aug 13, 2024 Accepting new patients
Florida Community Health Centers, Inc. CurrentSince Jan 30, 2023 Accepting new patients
Eleanor Health Professional Oh, LLC CurrentSince Jun 23, 2024 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Community Health Centers Inc CurrentSince Jan 30, 2023 Accepting new patients
Brightside Medical, P.C. Psychiatry CurrentSince Jul 1, 2024 Accepting new patients
Eleanor Health Professional TX, PLLC Psychiatry CurrentSince Aug 13, 2024 Accepting new patients
Tides Mental Health of Il, PLLC Past Accepting new patients
Better Beginnings LLC Psychiatry PastSince Oct 24, 2018 Accepting new patients
Hope Health and Wellness Inc PastSince Jan 30, 2021 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

  • Direct secure messaging: vdiazfernandez2807180@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: virmarie.diaz.fernandez.1@21505.direct.athenahealth.com
  • Direct secure messaging: virmarie.diaz.1@23211.direct.athenahealth.com
  • Direct secure messaging: 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.

View all 30

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

Verify at the official NPI Registry.