Individual provider Active NPI

Joshua Fernandez, IDC

  • Independent Duty Corpsman
  • Camp Lejeune, NC
National Provider Identifier
1306700489
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
License
08247451JF Issued in NC
Practice address
2D Marine Raider Battallion, Batallion Aid Station
PSC Box 20183
Camp Lejeune, NC 28542-0183
Phone
(408) 406-0579
NPI assigned
Dec 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X 08247451JF NC Primary

Addresses

Primary practice location

2D Marine Raider Battallion, Batallion Aid Station
PSC Box 20183
Camp Lejeune, NC 28542-0183

Mailing address

2D Marine Raider Battallion, Batallion Aid Station
PSC Box 20183
Camp Lejeune, NC 28542-0183
Phone (408) 406-0579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
08247451JFNCMDIndependent Duty Corpsman

NPI Registry JSON

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1306700489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2D MARINE RAIDER BATTALLION, BATALLION AID STATION",
            "address_2": "PSC BOX 20183",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420183",
            "telephone_number": "408-406-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2D MARINE RAIDER BATTALLION, BATALLION AID STATION",
            "address_2": "PSC BOX 20183",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420183",
            "telephone_number": "408-406-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JOSHUA",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NC",
            "license": "08247451JF",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Lejeune, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.