Active NPI
Dae Loreto Fernandez
- Neuroscience Registered Nurse
- Tucson, AZ
National Provider Identifier
1417259086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroscience Registered Nurse
- License
- RN129134
- Practice address
- 5277 E Jasmine Vista CT
Tucson, AZ 85756-8684 - Phone
- (520) 514-9495
- NPI assigned
- Dec 2, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neuroscience Registered Nurse | 163WN0800X | RN129134 | AZ | Primary |
Addresses
Primary practice location
5277 E Jasmine Vista CT
Tucson, AZ 85756-8684
Mailing address
5277 E Jasmine Vista CT
Tucson, AZ 85756-8684
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN129134 | AZ | MD | Neuroscience Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1417259086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5277 E JASMINE VISTA CT",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857568684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5277 E JASMINE VISTA CT",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857568684",
"telephone_number": "520-514-9495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "DAE",
"middle_name": "LORETO",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-02",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neuroscience",
"state": "AZ",
"license": "RN129134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.