Active NPI
Joan Marie Fernandini
- Registered Dietitian
- Lares, PR
National Provider Identifier
1346797115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1962
- Practice address
- Carretera 374 KM 02
Barrio Grillasca
Lares, PR 00631 - Phone
- (787) 214-2955
- NPI assigned
- Sep 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1962 | PR | Primary |
Addresses
Primary practice location
Carretera 374 KM 02
Barrio Grillasca
Lares, PR 00631
Mailing address
Barrio Grillasca
Carr 374 KM 02
Lares, PUERTO RICO 00631
UM
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220512000530 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 6709113541 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1962 | PR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital General de Castaner Inc | Current | Accepting new patients | |
| Hospital General de Castaner Inc. | Current | Accepting new patients |
Interoperability endpoints
- jfernandini@cslpr.directbygreenway.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Jayuya, PR
- NPI 1073040689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1346797115",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "BARRIO GRILLASCA",
"address_2": "CARR 374 KM 02",
"city": "LARES",
"state": "PUERTO RICO",
"postal_code": "00631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 374 KM 02",
"address_2": "BARRIO GRILLASCA",
"city": "LARES",
"state": "PR",
"postal_code": "00631",
"telephone_number": "787-214-2955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDINI",
"first_name": "JOAN",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-08",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lares, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.