Maribel Fernandez

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN9503787 Issued in FL

Practice address

2901 W Cypress Creek Rd Ste 113
Fort Lauderdale, FL 33309-1730

Phone

(954) 474-7373

NPI assigned

May 9, 2023

Sex

Female

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Incera Mental Wellness Center LLC

  • Community/Behavioral Health Agency
  • Boynton Beach, FL
  • NPI 1912854001
  NPD Authorized official
• Regional Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Ft Lauderdale, FL
  • NPI 1801420435
  NPD Authorized official

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1306536834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 NW 81ST PL",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333217076",
            "telephone_number": "954-709-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W CYPRESS CREEK RD STE 113",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091730",
            "telephone_number": "954-474-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MARIBEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "RN9503787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Fernandez, PA
• Katherine Fernandez
• Leslie P Fernandez, CRNA
• Maite Villar Fernandez
• Margot Fernandez, PA-C
• Maritza Paz Fernandez, D.C., C.AD.
• Nicholas Christian Fernandez, MD
• Stephanie Fernandez, LMHC
• Vanessa Fernandez, LMHC
• Fernando V. Mata , MD, PA

• Community Health Registered Nurse in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Community Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.