Individual provider Active NPI

Enmanuel Fernandez, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1427996784
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11045873 Issued in FL
Practice address
6541 Cow Pen Rd Apt F206
Miami Lakes, FL 33014-6638
Phone
(786) 486-2975
NPI assigned
Mar 24, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11045873 FL Primary

Addresses

Primary practice location

6541 Cow Pen Rd Apt F206
Miami Lakes, FL 33014-6638

Mailing address

6541 Cow Pen Rd Apt F206
Miami Lakes, FL 33014-6638
Phone (786) 486-2975

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1035 Kings Ave
Jacksonville, FL 32207-8311

3250 Lacey Rd
Suite 160
Downers Grove, IL 60515-7901

6541 Cow Pen Rd
Apt F206
Miami Lakes, FL 33014-6637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11045873FLMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1427996784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6541 COW PEN RD APT F206",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146638",
            "telephone_number": "786-486-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6541 COW PEN RD APT F206",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146638",
            "telephone_number": "786-486-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ENMANUEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11045873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.