Individual provider Active NPI

Widayessi Fernandez, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1356852669
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9353615 Issued in FL
Practice address
801 SW 94TH Ave
Miami, FL 33174-3039
Phone
(305) 988-5332
NPI assigned
Oct 13, 2017
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9353615 FL Primary
Behavior Technician 106S00000X RBT-26-529568 FL

Addresses

Primary practice location

801 SW 94TH Ave
Miami, FL 33174-3039

Mailing address

801 SW 94TH Ave
Miami, FL 33174-3039
Phone (305) 988-5332

Other practice location 1

2550 NW 72nd Ave Ste 115-117
Miami, FL 33122-1350
Phone (786) 536-2012

Other identifiers 1

IdentifierTypeStateIssuer
023555800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190619001554 FL Practitioner - Nurse Practitioner 6002140464 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RBT-26-529568FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Behavior Health Care Inc CurrentSince Apr 7, 2026 Accepting new patients
Sunshine Supportive Care Services Past Accepting new patients
Sunshine Behavior Health Care Inc Past Accepting new patients
Sunshine Rehab Center Past Accepting new patients
Sbhcinc Past Accepting new patients

Locations

2550 NW 72nd Ave
#115117
Miami, FL 33122
Phone (786) 536-2012

2550 NW 72nd Ave
Ste 105
Miami, FL 33122
Phone (305) 392-1045

2550 NW 72nd Ave
Ste 115117
Miami, FL 33122
Phone (786) 536-2012

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nations Home Health Agency IncMiami, FL, CCN 109043 Home health agency W-2 Managing Employee (50%) Oct 15, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1356852669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SW 94TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743039",
            "telephone_number": "305-988-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SW 94TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743039",
            "telephone_number": "305-988-5332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 NW 72nd Ave Ste 115-117",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331221350",
            "country_code": "US",
            "telephone_number": "786-536-2012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "WIDAYESSI",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9353615",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-26-529568",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023555800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.